Rhinoplasty Before & After: Dorsal Hump and Tip Projection

Rhinoplasty #186

Our 25 year old patient is seen six months following functional and cosmetic rhinoplasty surgery. She was bothered by her dorsal hump and wide droopy tip. She also had narrowing of her internal nasal valves which required spreader grafts. Additional tip projection and definition was achieved with an Extended Shield Graft. You can see natural looking and "un-operated" results in our beautiful patient.

Patient Review:

“Dr. Joseph and his staff were so comforting and supportive during the whole process of consultations, pre & post operative appointments and the surgery itself. I cannot recommend them enough! Dr. Joseph really does listen to all of your concerns and will answer any questions regarding your procedures. The results were just what Dr. Joseph had described pre-surgery and I couldn't be happier!”

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Rhinoplasty Before & After: Dorsal Hump and Droopy Nasal Tip Correction

Rhinoplasty #185

You can see a pleasing, natural looking and masculine nasal appearance two and a half years after functional and cosmetic rhinoplasty surgery in our handsome young man. He didn't like his dorsal hump and droopy nasal tip. He also had restricted nasal breathing due to narrowed internal nasal valves, so spreader grafts were used.

Rhinoplasty Before & After: Nasal Profile Straightening and Deprojection

Rhinoplasty #184

Our beautiful 32 year old patient is seen six months following functional and cosmetic rhinoplasty surgery. You can see a straighter nasal appearance, with nasal profile deprojection. She required spreader grafts on both sides to straighten her nose, and to improve her airway.

Spreader grafts are small pieces of cartilage that may be sewn to your septum and upper lateral cartilages to either fill an indentation, or to improve breathing. In this case, both outcomes were achieved

Rhinoplasty Before & After: Dorsal Hump Removal and Bulbous Tip Correction

Rhinoplasty #183

Our 20 year old beautiful patient is seen 6 months after her functional and cosmetic rhinoplasty surgery. She was bothered by her dorsal hump, and bulbous, droopy nasal tip appearance. There was a restriction in her right internal nasal valve that required a right cartilage spreader graft. In this case, the spreader graft helps to provide a straighter nasal appearance and to help her breathe better through her nose.

When we evaluate our patients who request rhinoplasty, we feel it's important to understand how much someone dislikes their nose. We use a scale from zero to ten. Ten may be defined as the worst possible dissatisfaction, and zero may be defined as no desire for surgery. Our patients who quantify dissatisfaction with their noses at seven or higher are typically eagerly desiring surgery. Rhinoplasty surgery may not be appropriate if someone has only mild to moderate dissatisfaction, or if someone likes their current nasal appearance on occasion. People with a high degree of dissatisfaction for a long duration, with issues we can improve with rhinoplasty, are some of the best candidates for rhinoplasty surgery, since they may be inclined to accept improvement, and experience satisfaction.

Rhinoplasty Before & After: Nasal Trauma Repair with Septoplasty

Rhinoplasty #182

These photos of our handsome twenty five year old patient were taken 7 months after rhinoplasty surgery. He had a combined functional and cosmetic nasal procedure since he didn't like the way his nose looked, and he was also having difficulty breathing through his nose. He had previous nasal trauma several times that left him with a crooked nasal appearance, and a deviated nasal septum. Additionally, he had a history of chronic nasal allergy that led to enlargement of his turbinates, so turbinate reduction was performed at the time of his rhinoplasty. His functional and cosmetic rhinoplasty also consisted of septoplasty, tip-plasty, alarplasty (nostril narrowing), hump removal, osteotomies and placement of a right-sided cartilage spreader graft. His spreader graft was carved from his septal cartilage, and was used to provide a straighter nasal appearance, and to open a narrowed internal nasal valve for better breathing.

Turbinates are organs in your nose, about the size of your pinky, that filter and humidify the air you breathe. If you are exposed to things in the air you may be allergic to, it can cause your turbinates to enlarge over time, even if you use nasal saline, nasal steroids, and antihistamines. In our practice, we reduce the turbinates, if necessary, with a bipolar electrosurgical device called a Dennis probe. Turbinate reduction takes under ten minutes to perform, and does not increase pain after rhinoplasty, When turbinate reduction is combined with rhinoplasty, there may be an increased likelihood of a postoperative nose bleed, and temporary nasal crusting is common for up to one month after your procedure. Turbinate reduction, however, may lead to markedly improved nasal breathing when someone has chronic turbinate enlargement from chronic nasal allergy.