Rafaella Justus, 16, Says Second Rhinoplasty Was a Self-Care Choice

Overview

• Rafaella Justus told followers on Monday she underwent a second nose surgery and said it was about caring for herself, not low self-esteem.
• Her parents and close family, including Ticiane Pinheiro, César Tralli, Roberto Justus, and Ana Paula Siebert, publicly praised her decision and results.
• Terra identified the surgeon as Dr. Frederico Keim, and Rafaella said rib cartilage grafts were used to shape her nose.
• Specialists quoted in coverage said revision rhinoplasty is more complex and is usually considered only after about a year of healing from the first operation.
• The announcement drew wide reaction because of her large online following and renewed debate over cosmetic procedures for adolescents.