Key principals of aesthetically pleasing rhinoplasty!

For benefit of those surgeons what I mention before, who have yet not garnered much experience such as I to be expert of rhinoplasty, here are key principals which remain constant no matter the situation!;

1. Always smaller is better. Noone ever request larger nose for surgery; always better to over-resect nose than have complaint from patient that nose too big. Always you must aim for the smallest size nose possible!

2. No-one likes round, bulbous ugly nose. Always you must endeavour for most sculpted, pointed tip. This shows quality of craftmanship of nose, thin nose and sharp tip are indicators of great surgeron!

3. If patient request "conservative" rhinoplasty, then better it is to preserve some inherent traits than aim for perfection! For example, if patient nose is crooked, aim to have nose just as crooked after surgery, or even more crooked, this make sure others will have disbelief at nose being result of "nose job". Or if naturally then hanging columella exist then make sure columella still hang after surgery, to preserve patient unique "look".

4. If irregularities (dent or pinch) appear on surface of nose after surgery, is not the fault of surgeon! Never accept responsibility for poor healing of patient! Whenever collapse or irregularity appear is always fault of patient for inability of body to heal nose properly after surgery. Never it is fault of surgeon; can even happen to expert of surgery! I should know! Happen with me all the time!

5. Never tell patient before surgery of that what is to be done to them. It is no business of patient what you shall do to them during procedure! There is not even any need for surgeon to have prepared that which he will do for surgery before operation, if surgeon have any experience !

Follow this steps and you shall have always glorious practice of making aesthetic nose!

Imaging of proposed beautiful celebrity result!

I would like to advertise practice for plastic surgery. I not getting enough money already for destroying people’s faces so would like even more. To do his I shall advertise results that which one would get of getting rhinoplasty from Barrell Dam. I not permitted to post photographs of my own results as I am currently under litigation from all my ex-patients. But instead I will share with you wonderful digital imaging of fantastic result if celebrity should desire more aesthetic look to get nose carve up by Dam!



It is with amazement that I see how one such as Adriana Lima with ugly, wide natural nose can be regarded as “super model”. While few possess transcendent aesthetic beauty of La Toya Jackson it is true, there is no excuse for one with mediocrity of face such as this to become successful of modelling in life (even if she is possessing of a pair of very succulent breast).
After: Truly beautiful. Now one is no longer distracted by large unsightly nose, and can freely admire supple perky mammaries without fear of perceiving an unaesthetic nose.


Second is Leighton Meester. Also, she is possessing wide, unappealing “natural” nose. She is a “Gossip Girl”, surely they are gossiping about her unattractive unaesthetic nose? But no more! Dam will take care of that!


Ah, Paris Hilton! Already possessive of a nose that is thin, elegant and beaky! They say you cannot improve upon perfection, but Dam can! Let’s make nose more asymmetric, to match Paris eyes! Look at that! Behold perfection! Pretty as a picture!



Christin Bale. Already he has asymmetric, unnaturally thin nose with droopy tip. Aesthetic nose make him handsome devil, just like Dam! But we can make it even better! Nose thin already, but not yet thin enough! There we go! Is imaging not better? What, now to be even better looking than myself; surely now women find him irresistible; with money and power and aesthetic new nose! Magnificence of proboscis!


I will be happy to perform surgery for special discounted rate (just like “special discounted rate” my practice uses to lure everyone else into surgery) for any celebrity possessive of wisdom to want Dam to create stupendous aesthetic nose.

Planning for surgery - is necessary?

One thing what always troubles me is expectation of patient to have plan written down by surgeon of prior to surgery. Why always they expect I not know what I am doing? I have undergone years of training and given people wonderful pleasure of aesthetic nose for years; what reason to doubt capabilities of Dam? Then complain of "botch" to Dam because of notions in head that is necessity to plan surgery.

Only surgeons who give unaesthetic mediocre result will have necessity to use plans for surgery. Because they lack experience of specialist such as myself. These are same surgeons who prefer "natural" look because they not know how to give sculpted aesthetic appearance. Never put yourself in hands of these surgeons! Only look for the best what can give you most beautiful aesthetic appearance that which you desire!

I never plan for surgery because always know what I am doing... even when in operating theatre can open up nose and carve away without second though as knowing what to do from much years of experience. Can also be rewarding experience for surgeon, getting to create technique for surgery as one goes along; can try different experiments to achieve a desired more pleasing aesthetic result. Very satisfying to create wonderful aesthetic nose without any plan of what to do in surgery! This is not always good technique for mediocre surgeon that still like "natural" look due to undertraining of experience, but when have become expert can easily hack away at nose from knowing that what one will do to nose will always look good!

Remember never to go to surgery with surgeon that need to plan for operation!