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.

Rhinoplasty Before & After: 13 Months After Functional + Cosmetic Rhinoplasty

Rhinoplasty #286

Our stunningly beautiful patient is seen before and 13 months after functional and cosmetic rhinoplasty performed in our practice. When she met us, her nasal appearance was her biggest insecurity. She was self-conscious about her crooked nose, dorsal hump, and wide, droopy tip. She also had chronic nasal obstruction due to a severely deviated septum and enlarged turbinates. Our goals were to achieve a narrower and straighter nasal appearance on front view, with nasal tip deprojection and rotation on profile, along with dorsal lowering. During surgery, we corrected her deviated septum, reduced her turbinates, and utilized an extended shield graft to provide natural-looking tip definition and support. We are thrilled that our patient is breathing better and happy with her results.

Rhinoplasty Before & After: Addressed a Deviated Septum, Valve Weakness & an Overprojected Tip

Rhinoplasty #285

Our beautiful patient is seen before and one year after functional and cosmetic rhinoplasty surgery in our practice. Her preoperative nasal obstruction was due to a severely deviated septum to the right and congenital weakness of her external nasal valves on both sides. From a cosmetic perspective, she was dissatisfied with her long and overprojected nasal profile. During surgery, we corrected her deviated septum and utilized lateral crural extension grafts to support her external nasal valves and keep her airway open. One year after surgery, her nose appears smaller, less distracting, and more feminine, without any stigmata of prior surgery. Just as importantly, her nasal airway is now widely patent, allowing her to breathe better than ever before.

Rhinoplasty Before & After: Corrected a Deviated Septum, Straightened the Bridge & Refined the Tip

Rhinoplasty #281

Our beautiful patient is seen at her one-year anniversary after functional and cosmetic rhinoplasty surgery. She had chronic nasal obstruction from a deviated nasal septum and a narrow right internal nasal valve, which also contributed to a crooked nasal appearance, a bulbous droopy tip, and a dorsal hump. After surgery, you can see a natural-looking nasal appearance that is less distracting, and we are all grateful that our patient is now breathing very well. Her airway was repaired with a septoplasty and a right-sided spreader graft, which also contributed to a straighter nasal appearance. Because of her thick skin, we utilized an extended shield graft to achieve tip narrowing and improved nasal tip support, ensuring that her tip should not droop with aging. We are so grateful that she has allowed us to use her photographs.

Patient Review:

“Dr Joseph is not only an incredibly talented surgeon but also so kind. I had wanted a rhinoplasty since I was young and stumbled upon his account randomly and I loved the natural results he is able to achieve. I had a very deviated nose and he was able to fix every small and big thing I wanted to correct with my nose’s appearance and he got it to look exactly how I wanted it to look. His office keeps you highly informed the whole time and the healing process was even easier than a previous septoplasty I received years ago. I highly recommend Dr. Jospeh for any natural functional rhinoplasty needs. He is a magician!”

Find this review and others at Google.com

Rhinoplasty Before & After: Shortened the Nose and Corrected a Deviated Septum

Rhinoplasty #280

Our beautiful 28-year-old patient is seen one month after functional and cosmetic rhinoplasty surgery. Her nasal obstruction was due to a deviated nasal septum and external nasal valvular collapse. From an aesthetic standpoint, the patient didn’t like that her nose stuck out too far, was too long, and was associated with a dorsal hump and a droopy tip, especially when smiling. We derojected her nose, narrowed her nose, shortened her nose, corrected her deviated nasal septum, and strengthened her external nasal valves with lateral crural extension grafts. You can still see swelling in the lower third of her nose, which is normal only one month postoperative. We are beyond grateful that she has allowed us to share her photographs.