Rhinoplasty can be a very complex operation due to the multiple components that affect the aesthetics of the nose. Often, a change of 1 millimeter can be the difference between a good result and one that is less than ideal.
There are cases, though, where less can be more when a single anatomic problem presents itself as an aesthetic issue. This is most commonly seen in the bridge or nasal dorsum. If a bump is surrounded by otherwise excellent nasal aesthetics, then it is best to only address the bump and leave the remaining features of the nose untouched. Not only will this solve the problem, it will keep the inherent characteristics of the nose intact so that the result is natural and the best features of the nose that are unique to that patient are preserved. Suboptimal results arise when a surgical script is followed in which every patient gets the same operative steps regardless of their need. Dr. Forley believes in customizing the operation to the individual patient to yield the best outcome.