Question 1

Can nose shape be changed non-surgically, especially in childhood?

Accepted Answer

No, pushing on the nose does not work. Cartilage is difficult to remodel after 3-4 months of age. Before that age, splints can be used for prominent ears, but after that, cartilage is largely fixed.

Question 2

What are Dr. Litner's views on using threads for nose reshaping?

Accepted Answer

Dr. Litner strongly advises against using threads in the nose due to significant risks. Nasal tissue is thin, and the delicate tip cartilage can easily be torn or ripped as threads, which act like fish hooks, anchor into it. The practice frequently observes torn nasal tips during surgery due to prior thread treatments. While thread lifts can work in areas with heavy soft tissues like the cheeks, individuals considering threads for the nose should discuss safer, alternative options with their surgeon.

Question 3

What makes correcting a crooked nose challenging, and what does the surgical approach involve?

Accepted Answer

Fixing a crooked nose is one of the most challenging aspects of rhinoplasty, often due to 3-5 underlying issues like crooked bones, a deviated mid-vault or septum, and a twisting or falling nasal tip. With broken or crooked noses, the tip often loses support because ligaments connecting it to the septum stretch or break, leading to both aesthetic concerns and breathing problems. To achieve a straight, aesthetically pleasing result, all these underlying causes must be addressed. The surgical process involves straightening the nose, smoothing the bridge, and specifically lifting, reprojecting, and re-supporting the nasal tip to restore proper structure and contour.

Question 4

Does nose taping permanently reshape the nose, and what is its actual purpose?

Accepted Answer

Nose taping does not radically or permanently change the shape of your nose, nor does it reduce bone or cartilage. Any significant changes seen after 'taping' are due to prior surgery, not the tape itself. However, taping is highly beneficial for post-surgery recovery, as it helps reduce swelling by applying pressure to the skin and pushing out fluid. The practice recommends all post-operative patients tape their nose for this purpose. Any temporary reduction in swelling from taping without surgery typically lasts only a few hours to a day.

Question 5

What is Otoplasty (ear pinning), and what is Dr. Litner's approach?

Accepted Answer

Otoplasty, or ear pinning, is a surgical procedure for prominent ears that either stick out and cup, or are flattened with the superior pole protruding. This prominence often results from an underdeveloped antihelical fold or excess cartilage pushing the ear away from the head. The goal is a natural ear position, more in plane with the head, reducing self-consciousness. Dr. Litner's technique involves bending the ear cartilage with permanent sutures to create a natural fold and bring the ear back into balance, avoiding cutting techniques that can lead to abnormal bending and ridges over time. Patients can expect to feel confident taking pictures or turning their head at any angle without concern for their ears.

Question 6

What are Dr. Litner's practice values?

Accepted Answer

The practice holds military personnel in high regard.

Question 7

Does nose taping actually reshape your nose permanently without surgery, or is it just temporary swelling reduction?

Accepted Answer

Nose taping does not radically or permanently change the shape of your nose, nor does it reduce bone or cartilage. Any significant changes seen after 'taping' are due to prior surgery, not the tape itself. However, taping is highly beneficial for post-surgery recovery, as it helps reduce swelling by applying pressure to the skin and pushing out fluid. The practice recommends all post-operative patients tape their nose for this purpose. Any temporary reduction in swelling from taping without surgery typically lasts only a few hours to a day.

Question 8

What are the risks of nose threads compared to a surgical rhinoplasty? Are they really safer?

Accepted Answer

Dr. Litner strongly advises against using threads in the nose due to significant risks. Nasal tissue is thin, and the delicate tip cartilage can easily be torn or ripped as threads, which act like fish hooks, anchor into it. The practice frequently observes torn nasal tips during surgery due to prior thread treatments. While thread lifts can work in areas with heavy soft tissues like the cheeks, individuals considering threads for the nose should discuss safer, alternative options with their surgeon.

Question 9

Should I tape my nose after rhinoplasty, and if so, for how long and what kind of tape should I use?

Accepted Answer

Nose taping does not radically or permanently change the shape of your nose, nor does it reduce bone or cartilage. Any significant changes seen after 'taping' are due to prior surgery, not the tape itself. However, taping is highly beneficial for post-surgery recovery, as it helps reduce swelling by applying pressure to the skin and pushing out fluid. The practice recommends all post-operative patients tape their nose for this purpose. Any temporary reduction in swelling from taping without surgery typically lasts only a few hours to a day.

Question 10

What does Dr. Litner say about their techniques?

Accepted Answer

What we do instead is we'll bend this cartilage with sutures. Those permanent sutures hold the cartilage in the shape we want until your body heals around it.

Question 11

What does Dr. Litner say about what they specialize in?

Accepted Answer

The practice specializes in ethnic rhinoplasty.

Question 12

What does Dr. Litner say about results?

Accepted Answer

What that accomplishes is we're taking the ear that's more prominent and flattened, creating that nice fold, but in a way that naturally brings it back into balance and proportion with the rest of the features.

Dr. Jason Litner, MD

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