Entries in Rhinoplasty (3)


Surgeon Gave Teen Daughter Breast Implants

iStockphoto/Thinkstock(NEWPORT BEACH, Calif.) -- A California plastic surgeon is keeping it in the family by performing multiple cosmetic procedures on his own young daughters.

Dr. Michael Niccole, founder of the CosmetiCare Plastic Surgery Center in Newport Beach, Calif., gave his daughter Brittani, now 22, breast implants when she was 18. Brittani also had a rhinoplasty. Niccole performed surgery on his daughter Charm, now also 22, when she was 10 to turn her “outtie” belly button into an “innie.”

Dr. Niccole said he has performed surgery on other family members as well and felt comfortable operating on his daughters, both of whom are adopted.

“Who would give them the time -- that extra little look during surgery more than I would?” the surgeon said.

Brittani told 20/20 she wanted breast augmentation surgery to “build my self-esteem.”

“I didn’t have large breasts when I was younger, and all my friends did…I felt very self-conscious about it,” she said.

Both Brittani and Charm also receive regular injections of Botox to prevent wrinkles and undergo other cosmetic procedures.

Though critics say women Brittani and Charm's age have no business undergoing cosmetic procedures, Dr. Niccole defends his work on his daughters as “maintenance.”

“I’m not changing their looks in any means. They want maintenance,” he said. "They don’t want to get old. They want to stay young.”

Copyright 2012 ABC News Radio


Bullied on Facebook, Teen, 13, Gets Nose Job

Jupiterimages/Thinkstock(NEW YORK) -- Nicolette Taylor was about to go under the knife at a clinic in New York City. When she awoke, she would have a new nose.

Taylor was 13 years old and starting eighth grade in her town on Long Island, N.Y. With the help and support of her parents, she decided to get a nose job after being bullied online.

"They went on Facebook, and they started posting, 'Hey big nose,'" said Maria Taylor, Nicolette's mother, in an interview with ABC News Nightline correspondent JuJu Chang. "It happened probably about five times that week. ... I came in when she was on the phone with the boy, and I took the phone from her, and I said, 'Listen, you need to take them off Facebook.' I was crazy, crazy."

What made her "crazy" was seeing Nicolette, otherwise a "tough" girl, sobbing.

"I was like, 'If this is really hurting her like this, then she has to be feeling insecure and horrible about herself,'" Maria Taylor said.

Nicolette knew getting teased was part of adolescence. What she couldn't take was how Facebook magnified it.

"Everyone could see it," she said. "All my friends could see it, all my new friends, and I didn't want them saying things. Because gossip goes around, and it really hurts."

Nicolette has always been popular and active. She broke her nose as a toddler but still worked as a child model, appearing in magazines and catalogs. She broke it again when she was eight, leaving it with a crooked bump on the side.

Maria Taylor had told Nicolette she could get a nose job when she was 18. She changed her mind when the Facebook teasing began.

Nicolette is the youngest patient Dr. Sam Rizk has performed a rhinoplasty on. A quarter of his nose jobs are performed on teens. Bullying is a factor "quite frequently," he said.

Almost 250,000 teens had cosmetic surgery in 2010, according to the American Association of Plastic Surgeons. There are no official age minimums.

Being physically mature enough for surgery is one thing -- emotional maturity is another. Dr. Richard Gallagher, a child psychologist, said parents should consider giving their kids coping skills to deal with a bully's taunts.

"I think it is helpful for kids to learn to stand up for themselves. You know, 'That's not true. I don't care what you think about my nose, I'm perfectly happy with it.' I may be tall, short, et cetera. I'm not bad because of that," he said.

Dr. Gallagher acknowledged the lasting damage bullying can do to a child's psyche. He said kids should stay off all social media until age 15. According to Consumer Reports, seven million kids under 13 are on Facebook.

Since her surgery, Nicolette has started school and has even made the cheerleading team. She said she knew bullying might happen again, but now that she felt better about her appearance, she didn't care.

Copyright 2011 ABC News Radio


One Third of Nose Job Patients Have Body Image Problems

Jupiterimages/Thinkstock(ARLINGTON HEIGHTS, Ill.) -- Most people looking to get a nose job, or rhinoplasty as the proceedure is technically known, hope for a better-looking nose, but a new study found that 33 percent of them show signs of body dysmorphic disorder or BDD -- a chronic mental illness characterized by excessive worry over appearance that interferes with daily life.

The condition does not improve after plastic surgery, and often times, symptoms worsen post-surgery.

The study, published in the journal Plastic and Reconstructive Surgery, surveyed more than 250 Belgian patients seeking plastic surgery to improve the appearance of their nose.  Researchers found that one-third of those patients had moderate to severe symptoms of BDD.

Symptoms of BDD include extreme self-consciousness, excessive grooming, frequent examination in the mirror or avoiding mirrors all together and steering clear of social situations because of one's appearance.

"This study shows that the prevalence of BDD symptoms in a cosmetic rhinoplasty population is high and that the severity of symptoms has a clearly negative effect on daily functioning," the authors concluded.

People who already had one nose job and sought a second one were even more likely to have self-image issues.  Also of note, the shape of a person's nose did not relate to the severity of BDD symptoms.

"Almost everybody is going to have some degree of unhappiness with their appearance, but when concern becomes excessive and interferes with day-to-day functioning, where the person can't stop thinking about it, that's when we start to worry about body dysmorphic disorder," said David B. Sarwer, a Philadelphia-based psychologist who wrote an editorial about the study.

"When somebody comes in, especially for a nose, it's important to ask that patient about their psychological history," said Dr. Malcolm Roth, director of plastic surgery at Maimonides Medical Center in Brooklyn.

Roth said rhinoplasty is the most difficult plastic surgery procedure to perform, but along with the procedure's complexity, the nose also holds importance for another reason.

"When you look in the mirror, it's the first thing you see," said Roth.  "If someone is unhappy with aspects of their current life situation, the nose is often the first thing they're going to see and they may blame the nose for their having social or work issues."

Experts say the study highlights the need to be particularly aware of this psychological condition during the screening and consultation.

Copyright 2011 ABC News Radio

ABC News Radio