This transformation is really incredible. This man became handsome after surgery

 A 73-year-old man with recurrent squamous cell carcinoma spreading to the nasal septum, dorsum, and lymph nodes (cT4aN2bM0) previously underwent partial rhinectomy and left forehead flap repair at another center. He later had partial rhinectomy and bilateral neck dissection, diagnosed as pN3b with extranodal extension (ENE+), and had a tissue expander placed sub-galeally on the right forehead due to prior scars.

After radiotherapy with adjuvant treatment, reconstruction was delayed six months post-radiation. During this time, the columella progressively deformed, slanting to the left. The plan was to reconstruct the entire nasal skin using a forehead flap attached to the remaining columella via an open rhinoplasty-type incision. The goal agreed with the patient was to restore the nose’s appearance as naturally as possible, using computer-aided design for accurate contouring and measurements.

After mapping the right supratrochlear artery with ultrasound, the flap was designed accordingly on the forehead. Local hinge flaps from the cheeks were planned to reconstruct the nasal lining.

It sounds like you’re referring to the significant changes a person can undergo through cosmetic surgery, particularly facial masculinization or other procedures aimed at enhancing facial features. These procedures can reshape features like the nose, jawline, and forehead, creating a more defined and attractive look. Examples include rhinoplasty, jawline contouring, and chin augmentation. Some individuals also pursue procedures like facelifts to achieve a more youthful appearance. 

Here’s a more detailed look at the topic:

Facial Masculinization and Cosmetic Surgery:

• Facial Masculinization:This is a specific type of surgery designed to create or enhance masculine facial features. Procedures may involve reshaping bones, adding fillers or implants, or other techniques. 
• Rhinoplasty:Nose reshaping surgery can dramatically alter facial proportions and make a person appear more attractive. 
• Jawline Contouring:This involves reshaping the jawline to create a more defined and angular look. 
• Chin Augmentation:This procedure can add projection to the chin, creating a more balanced and attractive face. 
• Facelifts:These procedures can address sagging skin and facial wrinkles, leading to a more youthful appearance. 
• Other procedures:Eyelid surgery, neck lifts, and hair transplants can also be part of a comprehensive makeover. 
• Personal Motivation:People often seek cosmetic surgery to enhance their appearance and boost self-confidence. 
• Finding a Qualified Surgeon:It’s crucial to consult with a reputable and experienced plastic surgeon before undergoing any procedures. 
• Open Communication:Having open and honest conversations with your surgeon about your goals and expectations is vital for achieving satisfactory results. 

Important Considerations:

• Realistic Expectations:It’s important to have realistic expectations about what cosmetic surgery can achieve.
• Potential Risks:All surgical procedures carry some risks, and it’s essential to understand these risks before proceeding.
• Recovery:Recovery time varies depending on the specific procedures performed.
• Long-Term Results:The results of cosmetic surgery can be long-lasting, but they may not be permanent.
• Psychological Support:Consider seeking psychological support before and after surgery, as it can be a significant personal journey.