Rhinoplasty Masterclass Manila. マニラ フィリピン 2017/02/18-19
Lecture: Glabella Augmentation with custom-made Silicone Implant
This sheet is the preoperative planning form I used for my client. This is written in Chinese not Japanese.
I ask my client to choose the shape she likes.
My suggestion for the patient
1 Augmentation of the glabella and dorsum with silicone implant
2 tip projection
3 alar reduction mainly reduce the horizontal width
I wonder which shape she would like to have for the dorsum and tip
I just guess what she may like showing in the left form (preoperative plan sheet) with red circles.
If my guess is correct, my design should be like this drawn with a red line on her photo.
The patient filled the preoperative design note.
She chose the nose shape that she liked.
The tip shape that the patient chose is sharp triangle with single break. If I follow her request, I will design her nose as shown in the right image with red line. However, I don’t think this type of tip does matches well with concave dorsal line. I understand she would like to extend her tip downward to reduce the nostril show in the front view.
I proposed two plans to her.
Yellow: concave dorsal line + tip extension with less caudal rotation
Blue: slight or small hump dorsum + tip extension for sharp triangular shape
The patient chose the yellow plan.
Custom-made silicone implant for the patient
Live surgery: augmentation rhinoplasty with custom-made implant and tip extension graft