A Nose – No’s!
Professional Beauty – Sept/Oct 2007

The man whom Hollywood stars like Brad Pitt and Gwyneth Paltrow turn to for skin care, Danne´ Montague-King, turned to Beverly Hillsrhinoplasty specialist, Dr. William Binder when he discovered that his nose was aging!  Montague-King offers his theory on the effects of time and gravity on the condition of the nose and his own aesthetic treatments to remedy them.  But as an educator and journalist, he eventually decides to learn what the “world of surgery” had to offer.

I went to interview one of the best and ended up with a new nose! More truthfully speaking, the nose I had 20 years ago.

I had heard of Dr. William Binder through friends that had the facial atrophy that sometimes accompanies HIV patients. He pioneered custom made facial implants so stunningly perfect that the client had no “false, pumped-up cheek bone look” and facial wasting totally disappeared. All of his custom designs are scaled by three dimensional computerization and his own artistic eye.

I was surprised to learn this genius was right around the corner from my own clinic in Beverly Hills all these years as I accompanied a friend who was having implants made. After meeting Dr. Binder, I posed my theory on the aging nose and within five minutes we were off! I can generally gauge a man’s true talent by his passion and the gleam in his eye, and William’s eyes became like lasers as he pulled case history after case history out showing rhinoplasty gone wrong, nose jobs that fell apart ten years later, botched job after botched job performed by reputable and otherwise talented surgeons and all the stunning corrective work he had done on these cases.

The reason being that the practice and theory of rhinoplasty is a lot different now than it was in the 1960s and ’70s. Rhinoplasty then was known to the trade as “reduction rhinoplasty” or the removal of bone, tissue and cartilage. These procedures were simpler, took less time, and produced more modest results, but…DID NOT STAND UP TO THE YEARS! As he explained all this, pictures flashed through my mind of older actresses I had known whose nose looked shrunken and pinched as they grew older, much like a Cupie doll whose face has sagged and puffed but the nose was that of a little doll with odd nostrils.

“We call our newer techniques ‘structure plasty’,” commented Dr. Binder. “I use cartilage from the clients own nose or body to support the nostrils and the tip rather than simply remove tissue.” He then took me to a three-sided mirror and explained the laws of elevation and angle as it was balanced with the rest of the face. I could quickly see how conventional rhinoplasty was not the answer to the aging nose or any other type of proboscis anomaly.

I could also see what was happening to mine.