Rhinoplasty Before & After: Congenital Nasal-Septal Deviation Correction

Featured Patient

Our beautiful patient came to our office with a congenital nasal-septal deviation that was causing her nasal tip to lean to her right. This was associated with a long, wide nasal appearance and a profile bump. These photos are 1 YEAR following septo-rhinoplasty surgery. You can see a straighter, less distracting, and better breathing nose.

Patient Review:

“One word to describe Dr Eric Joseph, AMAZING, but even that would be an understatement. Dr Joseph and his staff and truly incredible people. They made me feel so comfortable moving forward with my surgery. If I had a question at any given moment, they were always available, ( even though some of my questions were a bit foolish). I used to be extremely insecure and self conscious about my nose, I had a deviated septum and a hump on my bridge. I even went so far as to hide it in pictures. However that changed after my surgery. I'm a year in and I am so very grateful for my new nose, I absolutely love it. He has given me my confidence back and I will forever be grateful. Dr. Joseph and his staff, they are truly one of a kind. I would recommend him to anyone and everyone!”

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Rhinoplasty Before & After: Correcting Cosmetic And Functional Issues

Featured Patient

These before and after photos are an excellent demonstration of both functional and cosmetic rhinoplasty surgery in our beautiful patient who has thin nasal skin. Her nasal obstruction was caused by internal nasal valve collapse, external nasal valve collapse, a deviated nasal septum to the right, and bilateral turbinate enlargement. She was also dissatisfied with the appearance of her nose. You can see that she had a bulbous droopy tip and a sizable profile hump. Her functional repair included septoplasty, bilateral spreader grafts, and bilateral lateral crural strut grafts. We also narrowed and rotated her nasal tip and took down her nasal hump. Additionally, you can see that the freckle at the base of her nose is permanently gone. We removed this with light electrocautery at the end of her rhinoplasty surgery. She is one year after surgery and we are all thrilled with her final result.

Patient Review:

“Dr Eric is amazing!!! Hi staff is so kind and accommodating and he is an exceptional surgeon! I had an aggressive turbinate removal and rhinoplasty and could not be happier with my results. My nose is now functional and beautiful! This was my second nose surgery (for breathing purposes) and wanted to get a rhinoplasty with it. He was the 5th doctor i saw for the procedure and I am so thankful for him! My recovery was easy and my result is amazing!!”

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Rhinoplasty Before & After: Results After Three Years

Rhinoplasty #272

We were thrilled to see our beautiful 24-year-old patient today, 3 YEARS after functional and cosmetic rhinoplasty surgery, and lower eyelid blepharoplasty to remove her congenital under-eye bags. You can see in her preoperative photos that there is a cleft between her tip cartilages, which is indicative of thin nasal skin. Generally, those with thin nasal skin are more likely to see imperfections or irregularities after rhinoplasty surgery, so skillful and well-planned surgery is most important.

When she came to visit us, she did not like her bulbous and over-projected nasal tip appearance. You can see that her nose was too long, that her wide tip stuck out too far from her face, and that this was associated with a dorsal hump. Since she had thin skin and was noted to have collapse of her external nasal valves with inspiration, her functional surgery consisted of correcting her deviated nasal septum and reinforcing her external nasal valves with lateral crural extension grafts. These cartilage grafts were repurposed from her deviated nasal septal cartilage that was causing obstruction.

From a cosmetic standpoint, our goal was to create narrow, straight bridge lines that would descend to a circular, lifted, and deprojected nasal tip appearance, along with lowering her dorsal hump for a less distracting and more feminine nasal appearance. Whenever considering rhinoplasty surgery, it is very important, in our opinion, to ensure that your prospective surgeon posts long-term follow-up results. In most cases, it takes 12 months or longer for someone to realize their final result. Additionally, you can see a natural-looking and rejuvenated under-eye appearance without her under-eye fat pads that were previously distracting preoperatively.

We also included her computer imaging. The goals of computer imaging are not to create a replica of a post-surgical result; rather, the goals are to ensure that patients have realistic expectations before undergoing surgery. We always use computer imaging in a conservative fashion, so our actual results may exceed someone’s expectations.

Rhinoplasty Before & After: Deviated Septum Correction and Refined Nasal Appearance

Rhinoplasty #272

A 44-year-old gentleman is seen well over one year following both functional and cosmetic rhinoplasty surgery. Preoperatively, he did not like that his nose projected too far in profile, and he was unhappy with his profile bump. Additionally, he experienced nasal obstruction on both sides due to a severely deviated nasal septum and congenital weakness of both his internal and external nasal valves. In his 14-month postoperative photos, you can see a less projected nasal profile that blends naturally and maintains a masculine appearance, without signs of previous rhinoplasty surgery. His functional repair required septoplasty, lateral crural strut grafts, and bilateral spreader grafts. We are so grateful that he has allowed us to share his photographs, and his nasal airway is now breathing perfectly.

Rhinoplasty Before & After: Correct a Prominent Dorsal Hump and a Droopy Tip

Rhinoplasty #271

We are grateful that our wonderful 28-year-old patient allowed us to share her results one year after rhinoplasty. She was primarily concerned about her profile, which had a prominent dorsal hump and a droopy tip. One year post-surgery, you can see a more balanced, refined, and naturally feminine nasal appearance.