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This young Virginia Beach woman was concerned about the hump on her nose and the position of her tip.  During our in-depth consultation, we discussed how rotating the tip up or shortening the nose would be just as important aesthetically as taking the hump down. She also expressed that she was bothered by her tip dropping when she smiled, and so we planned to use techniques that would decrease this tendency. I explained to her that there are two factors involved when the tip drops when smiling: one absolute and one relative. The first factor is the depressor septae, an upper lip muscle, which can physically pull the tip down on smile. The second factor is the tip seeming to drop when the smile muscles pull the cheek upward, making the tip of the nose appear to be lower.  Both of these issues can be improved upon by having the tip at a higher resting position, and the first issue can be mostly eliminated through techniques that prevent the tip dropping on smile.  Post-procedure, this patient is extremely pleased with the changes to her nose – we made the bridge straighter, but lowered it only to a natural position in order to avoid an “operated-on” look.  She is also happy with her tip, which we brought up to a much more youthful, feminine position.

Surgeon: Dr. Thomas Hubbard

Case Number: 462

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Practice Policy Update Regarding COVID-19 View Update Online Consultation

Practice Policy Update Regarding COVID-19

We are excited to announce our reopening as of May 1st. While many things have changed, one thing has remained the same: Our commitment to your safety.

Consultations are available in our office and we will continue to offer Virtual Consultations as well. You will be asked to complete your registration paperwork in our secure patient portal prior to your appointment and your consultation fee will be collected by phone to minimize contact.

Here are a few changes we have made as we transition to this new era:

  • Please reschedule your appointment if you are not feeling well, have a fever, have been exposed to anyone with Covid-19 or travelled internationally within the last month.
  • We will limit the number of people in the building and waiting area to maintain social distancing and our staff will be wearing masks until restrictions are eased.
  • Please wear a mask during your visit but do not wear gloves. You will be given hand sanitizer.

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