Rhinoplasty Before & After: Correct a Droopy Tip + Wide Nasal Appearance

Rhinoplasty #274

We met our beautiful patient when she was a senior in high school, and now she is thriving in college! She is a teenager who had severe dissatisfaction with her nasal appearance, and she is seen here one year after rhinoplasty surgery. Her goals were to achieve a narrower nasal appearance in the bridge, tip, and nostrils, as well as a shorter, less droopy tip and a more feminine profile. Her nasal tip was repaired with an extended shield graft, and you can see a narrower appearance and a nose that simply blends in, without any stigmata of previous rhinoplasty. Nostril narrowing, or alarplasty scars, are invisible. We are so grateful that she has allowed us to share her results.

Rhinoplasty Before & After: Eight Years After Functional + Cosmetic Rhinoplasty

Rhinoplasty #273

We are beyond grateful that our beautiful and kind patient has allowed us to post her results. Eight years ago, we performed a functional and cosmetic rhinoplasty surgery. From a functional standpoint, she had a deviated nasal septum, large turbinates, and internal nasal valve narrowing on both sides. Her functional repair consisted of correcting her deviated nasal septum, reducing her turbinates, and placing spreader grafts to open her nasal valves on both sides.

From a cosmetic standpoint, she did not like her bulbous, droopy tip and her dorsal hump. This is an excellent demonstration of a long-term rhinoplasty result from both a functional and cosmetic standpoint. Goals of surgery were to create a less distracting, more feminine, and better breathing nose. We also include the computer imaging that was performed to ensure that there were reasonable expectations. We do not "over morph" a nose, since our goal is to exceed somebody's expectations.

We were thrilled to see her a few months ago. She was bothered by the appearance of her chin and neck. You can see that she has a slightly recessive chin appearance, along with congenital, exercise-resistant neck fat that was additionally distracting and causing a double chin appearance. Our patient wished that she had chin implant surgery and neck liposuction at the time of her rhinoplasty; however, we wouldn't change a thing. An Implantech Anatomical Chin - Medium and neck liposuction were performed in the office with purely local anesthetic. We advocate neck liposuction as the treatment of choice for definitively treating a double chin appearance. Additionally, the combination of a chin implant and neck liposuction surgery exponentially improves the appearance of somebody's jawline when one is a good candidate. Her latest photos are 2 months after her chin implant and neck liposuction surgery. We are all thrilled with her results!

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.