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Andrea – African American Rhinoplasty – UPDATE

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More about African American Rhinoplasty from Dr. Rawnsley


Hi, my name is Andrea and I’m a student and I came to Dr. Rawnsley for a rhinoplasty.

The main reason I want to get a rhinoplasty primarily is my profile I have a bump when you when you’re looking at me. Most of the time I don’t notice it but if there’s a photograph I can see it very clearly and if you’re looking directly at me just the width I feel it’s so dominant on my face it kind of washes out my other features.

At the beginning I think it was photographs or this weird awareness of my nose at all times whether it’s when I’m talking to someone or if I see my reflection I’d immediately feel self-conscious. Over time I think I’ve become a bit more comfortable with it, but then looking back I still couldn’t get rid– of well I was– I looked confident but I wasn’t. I felt uncomfortable like I could– I knew something was different. It would bother me.

I did a lot of research when looking for the proper surgeon. Dr. Rawnsley was my decision in the ending primarily because he’s a leader in his field. His before and after photographs were great. His experience is the best and this is one of those things you want the best of the best. My face is something that everyone’s going to see, I can’t really hide it, so I want something that I’ll feel comfortable with and feel confident and I chose to go with someone that I also feel comfortable and confident with.

I am four days away from my surgery as of now and I’m nervous and very excited.

I feel confident that I have Dr. Rawnsley. I almost feel blessed that I found him, so I’m really excited to go in and I know that it’s going to be really great.

It has been a year since my surgery and I have no regrets. The surgery was really smooth. It was a lot faster than I had anticipated they gave me warm blankets before I went in which was really wonderful.

When I got out Dr. Rawnsley was right next to me so it was as though nothing happened, he stood I mean throughout the whole thing. One thing that I also really like about Dr. Rawnsley is that none of the adjustments are too extreme. He’s all about a natural result. He doesn’t look at you and think, okay I’m gonna make you look like this, he wants you to look like the best you you can possibly look like. And I really appreciate that because the responses I’m getting aren’t, oh, you did something to this area of your face. It’s more the overall look of my face is maybe brighter.

The whole reason I had the surgery done was to make myself more comfortable in my appearance.

I definitely didn’t feel comfortable in photographs, I would compensate with wearing makeup and trying to adjust things the best that I can. It feels good for myself to feel confident in the way that I look.

There will always be things that you want to change or you’re not certain about and it’s not some– it’s not the end-all be-all, it’s not like you get it done in the whole world is different. It’s more you get it done and you look at yourself and you think that’s how I feel I would look.

None of us are made to look exactly like anybody else and it feels really good to be me and look the way that I look and feel really proud of that.

Dr. Rawnsley on Revision Rhinoplasty UPDATE

Rhinoplasty is a difficult surgery to do well. Revision rhinoplasty is even more difficult because you have to deal with a lot of issues that you don’t have to deal with in fresh tissue. You have scar to deal with, you have unknown deformities, you have to be a skilled technician, a skilled surgeon. I have done a lot of revision rhinoplasty. I fixed a lot of people’s problems having been faculty UCLA for many years teaching this to other students, to fellows, you get a lot of experience that’s invaluable for for fixing these kind of problems. The other thing is just volume. For rhinoplasty you just need to do a lot of it to be good at it. Same thing with revision rhinoplasty, you just have to have a lot of experience to know when you face certain situations what to do because there are a myriad of different situations to face. I think for all those reasons people seek me out for revision rhinoplasty.

Learn more about Revision Rhinoplasty from Dr. Rawnsley.

Dr. Rawnsley on What To Expect Before Rhinoplasty UPDATE

Rhinoplasty is a really common procedure, especially in my practice. And a lot of patients have thought about it for years before they ever take this first step really to to make it a reality. And when you’re shopping around looking online, it’s really important that you find somebody for this very important decision that you feel comfortable with and that you like the results and you feel confident in.

A lot of what’s going to happen when you come to see me is getting to know me, me getting to know you, knowing what your desires are what you want you, talking about the functionality – because the nose is a breathing organ, and we have to address all those concerns. And then aesthetically to understand what you like. I oftentimes ask patients whose nose they like. I’m not going to give you that nose, but it gives me an idea of their aesthetic and the face they kind of identify with and it’s the way we can start that conversation. And then of course we talk about- we take some pictures of you, and I’ll use digital imaging to sort of morph things and show you what I think in my expert opinion, would look the best for you. And it’s also a great opportunity for us to kind of look at you, your picture your face together, as almost like a third person, and to for us to look and morph and decide what we like and what works and what doesn’t work.

So that’s a real important process as well. You’re going to get to know our office staff, you’re going to get to know Suzanne– you’ll probably know her well by the time you come in. And I just want you to feel that all your questions are answered, that you understand what the process is going to be, you feel comfortable with that. I’ll send you those email pictures just so that you can look at them and decide whether that’s something that you like. And when I see you again in consultation, because I always see you a second time prior to surgery, you’ll have thought about this, you’ll have questions and thoughts that we can address, and we can change our plan slightly if we decide to. So that it’s a really important process and it’s one that I think people hesitate to committing to because it’s new, it’s surgery, a big event and should be a very positive event for you. So I hope that’s the case for you when you come to see our office.

Learn more about Rhinoplasty from Dr. Rawnsley.

Dr. Rawnsley on Benefits of Endonasal Rhinoplasty UPDATED

So many patients come to me and ask, ‘is this going to be an open procedure?’

What that means is that some surgeons will make an incision underneath the nose. It allows the surgeon to flip the skin back and to see everything they’re doing. And in fact I’d say most surgeons do that approach, most of the time.

I still do that approach when it’s indicated for asymmetries, a difficult tip, for revising other people’s problems. But when I can I’ll always try to do everything inside of the nose. It’s called an endonasal approach, where there’s no external incisions.

The advantage of this is that you have no scar. Most of time that scar is a cosmetics scar but occasionally is not and I’d always rather avoid it if I could.

The second reason is that I feel like I had better judgment during the surgery to give you a great aesthetic result because I can see better with less swelling and there’s less trauma to the tissue and as a result you’re healing better. It’s faster, you have less swelling, and so I always rather do it that way