In these persons, the excess tissues are carefully excised while the remainder is reshaped. In this surgery, more than most, an artistic sense is necessary. At the same time, the alterations must put the nose into proper proportion with the rest of the face. There are limitations to this surgery. The size and shape of one's body and face will dictate the most desirable nose, one which will harmonize and accentuate the face.
Skin thickness is also an important note.
Thick, oily skin does not allow as fineof a tip definition after surgery as thin skin does. The thick, bulbous tip can be improved, however, realistic expectations must be clarified prior to surgery. Rhinoplasty surgery can be performed as early as fifteen in girls or seventeen in boys, the difference being the rate of maturation. The procedure can be performed either under twilight anesthesia or fully asleep under general anesthesia. This is quite individual and can be decided at the time of the consultation.