Dr. Sam Lam Plastic Surgery Forum

Hello Dr. Lam,
I brought S.S. in on March 17th for a consultation for rhinoplasty surgery. She would like me to ask you if she can see a picture of herself facing forward. So that she could see a picture of herself with a drawing of the new shape of her nose. She needs to have a clearer idea of what she will look like with the new nose. She did not get a clear understanding and was to shy to tell me until we left your office.

Thank you

hi,
i removed her name for privacy reasons. although it has only been 2 weeks, i cannot recall her nose. i will have to review my dictated notes and see her in person again. wait a second: is this your daughter, the teenager? if so, then i do remember and i will try my best to comment here.
best,
sml

Dr Lam,
Thank you for your quick response and yes you are correct S.S. is my 15 year old daughter from two weeks ago. I know that you see many noses and she has such small features all over her body she would be more comfortable if she could see a forward face picture of what you would recommend for her. I did not know if we need to come back in or you could use the photos that you have already. If so then you could email them to me or whatever you need us to do. I want her to be comfortable with her decision to move forward with scheduling the surgery. Funny she recently saw Dr.-- with a 15 year old girl with her nose after the rhino surgery which turned out beautiful. She said to me I want her nose. I laughed and said you cannot have her nose you have to have your own nose. Thank you Dr. Lam for any help you can give her with this life changing decision.

hi,
yes, i do not have a stored image of her frontal view. however, i do remember it. i believe that although her bridge is her principal problem, her tip requires work as well. the nasal tip cartilages are too wide and full. I will perform what is known as a "cephalic trim" and "dome binding" to bring the tip into a more elegant shape and more refined/narrower for her. i think she will really like that. as far as i recall, the nasal tip was slightly downward sloping too but i would have to see it again to remember exactly. that could be turned just every so slightly up. if she already feels comfortable to proceed, we can talk again and i can show her at the time of the preoperative evaluation. however, if she would feel more comfortable, we can always do a second consultation separately. either way, she will still be spending more time with me before the procedure so don't worry about that.
best,
sml

Dr Lam,
Thank you for your reply and answers to my questions. I will discuss this with my daughter and she will be happy to know that we will meet again prior to her surgery. We have sold a golf course lot that we own and will be closing soon. We will schedule the surgery date following the closing of the lot.
Best Regards,
CLS