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

Featured Patient

Our beautiful 28-year-old patient is seen 2.5 years after functional and cosmetic rhinoplasty surgery. She had a severely deviated nasal septum that was obstructing her airway, and causing a small irregularity and asymmetry on the base view of her nose. This was associated with a wide nasal appearance, and an overprojected profile nasal appearance. In the after photos, you can see a narrower and less projected nasal appearance that is completely natural. She is breathing well and she's thrilled with her results, and we are grateful that she has allowed us to post her photos.

Patient Review:

“Dr. Joseph is the only doctor I would trust with a rhinoplasty. He made me feel super comfortable throughout the entire process. My results were even better than what I could have expected. I’ve referred many friends to him who have also had great experiences. Post-op, Dr. Joseph was there with any questions or concerns I had even on the weekends during non- working hours. I would recommend him to everyone.”

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Rhinoplasty Before & After: Addressed a Hanging Columella, Nostril Asymmetry & an Overprojected Profile

Rhinoplasty #291

Our beautiful patient is seen before, and 10 months following functional and cosmetic rhinoplasty surgery in our practice. Preoperatively, she did not like the width of her nose on front view, and her nostril asymmetry on front view, especially with smiling. She was also self-conscious of her overprojected nasal profile appearance, with a dorsal hump, and a hanging columella with excess nostril show. Additionally, she had nasal obstruction that was due to a deviated nasal septum, turbinate enlargement, and weakness of her external nasal valves. Nearly a year after surgery, you can see a smaller, less distracting, and more feminine nasal appearance that is unoperated in appearance, and our patient is breathing perfectly. We are most grateful that she has allowed us to post her photos.

Rhinoplasty Before & After: Straightened a Crooked Nose Caused by a Deviated Septum

Rhinoplasty #290

Our handsome patient is seen one year following cosmetic and reconstructive nasal surgery. As you can see, he had a crooked nasal appearance, and this was associated with a severely deviated nasal septum to the left, along with chronic sinusitis. We needed to utilize an MTF profile sheet to carve a large right spreader graft, and to create a straighter nasal appearance. His long-term results demonstrates a less traumatic, and more pleasing masculine nasal appearance. We are also grateful that he is breathing better, and is not suffering from chronic sinusitis anymore either.

Rhinoplasty Before & After: Refined a Bulbous, Droopy Tip & Smoothed a Dorsal Hump while Correcting a Deviated Septum

Rhinoplasty #289

Our handsome patient is seen one year following functional and cosmetic rhinoplasty surgery. He did not like the bulbous appearance of his tip, and he also did not like his profile appearance which showed a large dorsal hump and droopiness of his tip with smiling. Additionally he had chronic nasal obstruction due to a severely deviated nasal septum, and refractory turbinate hypertrophy. We corrected his deviated nasal septum, and reduced his turbinates for a nasal Airway. You can see a narrower bridge and tip appearance on front view. On profile, you can see a less projected and less distracting masculine nasal appearance. To achieve his tip definition, we thinned his oily nasal tip skin, and we used an extended shield graft. We are grateful that he has allowed us to share his results.

Rhinoplasty Before & After: Improved Nostril Asymmetry, Smoothed a Dorsal Hump, & Fixed a Deviated Septum

Rhinoplasty #288

These are photos of our patient before and 15 months following functional and cosmetic rhinoplasty surgery. Her main issues were that she had a dorsal hump, and she also did not like how wide her nasal bones stuck out in the area where they attached to her cheeks. She also had some preoperative nostril asymmetry that was addressed at the time of surgery.

Her operation consisted of correcting her deviated nasal septum, lowering her bridge, performing osteotomies, utilizing an extended shield graft to gain definition of her tip through her thick skin, and placing spreader grafts on both sides to open up her internal nasal valves.

Her postoperative course was complicated by a severe nosebleed that occurred on the right side the evening of surgery. Since all of our patients have access to my personal cell phone, we met in the office in the middle of the night, and the bleeding was controlled with right-sided nasal packing. Her packing was removed 48 hours later, and there was no subsequent bleeding or problem with her healing.

We do not place nasal packing routinely in anybody; however, since a nasal hemorrhage after rhinoplasty surgery can occur in approximately 1% of cases—about once or twice a year—we need to utilize packing to control an emergency nosebleed situation. It has been our experience that nasal packing for a nosebleed does not affect someone’s final result, and this is the case here.

You can see a natural-looking, less distracting, and more feminine nasal appearance. I would also like to mention that this patient is a very strong and kind woman, and I am most grateful that she has allowed us to post her beautiful results.