Mark B. Constantian, MD, PA
Plastic Surgery, Cosmetic Surgery, Rhinoplasty
The patient who has never undergone surgery has advantages over the patient who has already had several nasal operations. The skin is not scarred, the skeleton is present and easier to examine, and the nasal septum, whether deviated or not, is present and provides excellent building material to reshape the external nose if that is needed. When assessing a primary rhinoplasty patient at my practice in the Boston/Manchester region, the important considerations are to recognize preoperative airway problems, to judge the ability of the skin to shrink or take on a new shape, to diagnose the areas of the nose that are anatomically too large or too small, and to create a safe plan that allows the surgeon to create a shape that is consistent with the patient’s wishes.
, Plastic Surgery
, Primary Rhinoplasty