Rhinoplasty #293

We have been specializing in rhinoplasty surgery for well over 26 years, and understanding how to treat the nasal tip, the nasal skeleton, and different skin types, is essential for delivering optimal results. In general, people with darker skin types tend to have thicker nasal skin, and they require cartilage grafting to achieve nasal tip projection, and narrowing. Our beautiful patient is seen before, and one year after rhinoplasty. She has thick nasal skin, and she presented with a broad and flat nasal appearance, and she was looking to achieve a narrower nasal appearance in her upper, middle, and lower thirds of her nose. Additionally, on profile, she had a droopy tip that was worse with smiling, and she had a small dorsal hump; she requested a tip lift, and bump removal. The base view of her nose demonstrates the amount of nasal tip projection that we were able to achieve, utilizing a strong columella strut graft, and an extended shield graft. In her case, grafting material was harvested from her own nasal septum, and repurposed. Her after photos demonstrate a narrower, less distracting, and more pleasing nasal appearance. We are most grateful that she has allowed us to post her photographs.