Patient is a 23-year-old Youtube star who wanted to achieve her dream nose for her upcoming wedding. She had always been very photogenic but had been bothered by her “family nose” that had a rather prominent bump with a nasal tip that plunged when she smiled. She desired a smaller and perkier nose that would better complement her facial features.
Procedure: Rhinoplasty with septoplasty with straightening of deviated nasal septum, reduction of dorsal hump and softening of nasal tip cartilages through suture techniques. Special attention was given to reconstituting her nasal dorsal aesthetic lines resulting in a nose that appears natural and unoperated on. She was ecstatic with her new nasal appearance and was photo-ready for her wedding. Photos were taken 3 months post-surgery and significant further definition of the nasal tip can be expected.
Patient: 17363760
Patient is a 24-year-old female with a long-standing desire to change the appearance of her nose. She felt that her nose was very crooked, and disliked the hump apparent on her profile. She had always been self-conscious of her retracted nostrils, feeling that it made her nose look as though one could easily look inside. She wanted a nose that looked more symmetric, more feminine and elegant, and that complemented her otherwise very fine features.
Rhinoplasty with correction of deviated nasal septum, reduction of dorsal hump, contouring of nasal tip cartilages, and placement of cartilage and fascial grafts to improve the nasal profile and nostril aperatures. Note the elegant profile with placement of fascial graft at the radix of the nose (superior portion of nose between eyebrows).
Patient: 17363773
This patient is a 20 year-old female who had long desired a more feminine nose that appeared to better fit her facial features. She disliked her prominent nasal hump and wanted her nasal tip to appear softer and more elegant. She was bothered by her small chin and was reminded of her long standing dislike of her side profile when she saw photographs of herself. She had dreamed of a smaller nose that appeared natural and a more proportioned chin and jawline that balanced and accentuated her natural facial features.
Rhinoplasty/Septoplasty with placement of both fascial and cartilage grafts, and chin augmentation. A fascial graft harvested from beneath the patient’s scalp was placed at the top of the nose beneath the eyebrows to soften the takeoff between forehead and nose which serves to make the nose appear shorter and more feminine. The large dorsal hump was removed, and nasal tip cartilages were softened and defined through both reduction and suture techniques. Tip projection was supported with cartilage grafts while the lines of the nose (dorsal aesthetic lines) were recreated giving the nose a better flow and very natural appearance. Lastly, the chin was augmented with placement of a large extended anatomic chin implant that provides volume to the chin and jawline imparting balance to the entire face. She was delighted with her surgical result, and her self-esteem was exponentially increased. Photos were taken only 4 weeks after surgery with still significant nasal tip swelling that will diminish greatly over the next year.
Patient: 17363781
Patient is a 20-year old female who had been employed as a runway model for the last few years. She is of German dissent and had desired a softer and more attractive nose since she was in middle-school. As with every patient, I took photographs of the patient’s nose and imaged what I thought I could produce in her best interest, and had her bring in photographs of what the patient thought were beautiful noses. We evaluated what she was looking for and came up with a plan that incorporated what she desired.
Procedure: Rhinoplasty with Septoplasty with placement of a fascial graft to the nasal radix (from the right scalp) to elevate the point where the nose started to make the nose appear shorter and more feminine. The nasal dorsal bump was softened, and the nasal bones were narrowed to produce elegant dorsal aesthetic lines. The nasal tip was narrowed, shortened and rotated through cartilage removal and suture techniques, and the new tip position was strengthened with cartilage grafts from the septum. Lastly, to make the nostrils appear more symmetric, the right nostril was both shortened and flare reduced to complete the nasal surgery. She is elated with her surgical results with greatly enhanced her confidence in her personal life and career.
Patient: 17363806
Patient is a 20-year-old female who had long desired a more elegant and feminine nose that looked less prominent. She was bothered by her dorsal hump and over-projecting nasal tip that had made her very self-conscious about having her photo taken, especially her profile. She hoped for her nose to appear smaller, perkier, and straighter.
Rhinoplasty Septoplasty with take down of dorsal hump and modification of nasal tip cartilages through suture and excisional techniques. Her nasal bones were narrowed and a fascial graft was placed at her radix (the top of her nose where the nose meets the forehead) to soften the transition of the beginning of her nose which actually makes the nose appear shorter. Fat was transferred to her periorbital region below her eyes to soften the hollowing and hyperpigmentation of this region. She is delighted with her results; photos were taken approximately 3 months after surgery.
Patient: 17363844
Patient is a 28-year female who felt that she had long been defined by her nose. She desired a smaller, less projecting nose with a softer profile and more feminine nasal tip. She had long-standing difficulty breathing and would like to improve her airway along with cosmetic enhancements.
Procedure: Rhinoplasty with septoplasty and reduction of nasal bump with lowering the nasal radix (where the nose starts between the eyebrows). The nasal bones were narrowed and contoured creating appropriate dorsal aesthetic lines, with opening of the internal nasal airways to better allow better breathing with reinforcement through placement of cartilaginous grafts. The nasal tip was shortened, rotated and contoured through cartilage removal and suture techniques. Lastly, the nostrils were shortened and reoriented to decrease nostril flare,and make the overall appearance softer and more feminine.
Patient: 17363853
Patient is a 26-year-old Hispanic female who had long desired a smaller and more delicate nose that better matched her face. She was bothered by a large dorsal hump and an overly projected nasal tip that lacked feminine definition. She wanted to maintain “her look” yet improve her nose and better compliment her other facial features.
Procedure: Rhinoplasty/Septoplasty with placement of cartilage and facial grafts. In this patient, what may seem like a simple rhinoplasty is in fact complex. Her rhinoplasty began with the placement of a fascial graft from the temporal scalp (no hair was shaved or lost) to the radix (between her eyebrows) to elevate her nasal starting point. Her nasal bump was reduced along with narrowing of her nasal bones. Next, her nasal tip cartilages were recontoured through nasal tip suture techniques and a cartilage graft was placed to aid in the reduction nasal tip projection and provide long term support. Lastly, her nostrils width and flare were adjusted to complement her new nose. She was extremely delighted with her surgical result and felt much more beautiful without losing her “uniqueness”.
Patient: 17363865
Patient is a 20-year old female with a long-standing desire to have a more defined and feminine appearing nose. She is of rather exotic descent, both Irish and Italian, and embraced her “look” but wanted to refine it. She has very thick skin and understood this affects the definition that is possible with her cosmetic result. Specifically, she wanted to soften her bump while making the entire nose look thinner with better angularity. She felt that her nasal tip and nostrils were too wide, and wanted a “perkier” nasal tip that did not go down when she smiled.
Procedure: Rhinoplasty Septoplasty with reduction of nasal bump and narrowing and contouring of nasal bones to created elegant dorsal aesthetic lines. Due to her very thick skin, cartilage grafts were used to provide internal support to the nasal tip, allowing it to be reshaped, shortened, and rotated in a predictable fashion. Lastly, her nostrils were shortened, rotated, and made more symmetric to complete her nasal surgery. She was ecstatic with her result.
Patient: 17363877
Patient is a 17-year-old female who came down from Alaska for a Rhinoplasty after submitting photographs online. Specifically, she did not like her wide and asymmetric appearing nose that gave her a more masculine appearance to her otherwise feminine facial features. She disliked her low-hanging columella that became more evident upon smiling, for which she was increasingly conscious about. She yearned for a smaller, straighter, and softer appearing nose that would better complement her facial features.
Rhinoplasty with Septoplasty and straightening and reduction of her nasal septum and nasal bones along with contouring of the nasal tip through cartilage reduction and suture techniques. Her columella was reduced in order to shorten her nose and improve her nasolabial angle, evident by better visualization of her upper lip giving better proportion to her facial features.
Patient: 17363878
Patient is a 28 year-old-hispanic female who had a long-standing desire to have a perkier and more feminine appearing nose. Specifically, she did not like the bump on her nose or her wide asymmetric nasal tip and nostrils that droop when she smiles.
Procedure: Rhino/Septoplasty with reduction of nasal hump, narrowing of nasal bones and reorientation of nasal tip cartilages through both excisional and suture contouring techniques. A supporting cartilaginous strut was placed to maintain long-term tip elevation to achieve the “perky tip” she desired, along with nostril narrowing to complete her rhinoplasty. Cartilage structural support and tissue undermining were keys to predictably and successfully reducing her overall nasal size. She was extremely with her surgical result.
Patient: 17363895
Patient is a 20-year-old college student who felt that she lacked considerable confidence because of her self-conscious nature regarding her nose. She disliked having her photograph taken as she did not like the bump on her nose, and felt that her nasal bones and tip were too wide and made her appear unattractive. She had a history of nasal trauma and also desired to breathe better.
Septo/rhinoplasty with straightening of the nasal septum, straightening and contouring of the nasal bones, and reduction of nasal dorsal hump. She underwent simultaneous narrowing and contouring of the nasal tip with placement of cartilaginous grafts to increase tip projection and maintain long-term angularity. I suggested she have fat transfer to the midface and periorbital region, along with her lips. She breathes better now, and feels so much more confident in her appearance. She is approximately 6 weeks post-surgery and the fat transfer will be permanent, the nose can be expected to improve with regards to overall appearance and definition for up to a year.
Patient: 17363899
Patient is a 23-year-old female who was referred to our office from another rhinoplasty patient who was thrilled with her surgical results. This patient underwent a previous rhinoplasty with another surgeon and was unhappy with the outcome. She desired a smaller and less projecting nose that would better complement her features.
Revision rhinoplasty with take down of nasal dorsum and contouring of nasal bones, with reduction of nasal projection and refinement of nasal tip cartilages stabilized with internal cartilage grafts.
Patient: 17363928
Patient is a 32 year-old-female who for years has been self-conscious regarding the appearance of her nose. She is an actress who spends much time in front of the camera, and feels that if she could have a more elegant nose that better complements her facial features, her confidence and career could benefit. Specifically she does not like her profile and the rather masculine and bulbous nasal tip. She desires to look more beautiful with out that “nose-job” look.
Rhinoplasty with reduction of the nasal dorsum to improve her profile, contouring and refinement of the nasal tip cartilages, and narrowing of the nasal bones. She was absolutely ecstatic with the results of her rhinoplasty.
Patient: 17363932
Patient is a 44-year-old female with a long-standing dissatisfaction of her nasal appearance, having been very self-conscious about having her photo taken. She realizes that her nose is a “family trait”, present in her father and one of her brothers. She disliked how overly-projecting her nose appears, and hates her bulbous split tip and hanging columella that always show up in photographs. She would like a nose that appears smaller, more feminine, and better complements her facial features without looking obviously altered.
Rhinoplasty with septoplasty, reduction of nasal dorsal profile and nasal tip projection, and alteration of nasal tip cartilages through excisional and suture techniques. She also underwent narrowing of her nasal bones to create appropriate dorsal aesthetic lines. She was absolutely ecstatic with her rhinoplasty result.
Patient: 17363951
Patient is a 22-year-old female who has a long-standing desire to improve the appearance of her nose. Specifically, she does not like her profile as she feels it looks masculine and does not complement her other facial features (which she likes). She thinks that her nose on front view appears off-center and wide, and is very conscious of the asymmetry of her nostrils. Though she has wanted a rhinoplasty for years, she has been hesitant as her mother had her nose done, feels it looks like a “nose-job”. She desires a softer more elegant appearing nose that enhances her facial features, without looking operated on.
Rhinoplasty with septoplasty to straighten the nose, reduction of the nasal hump, and contouring of the nasal tip cartilages. A contemporary rhinoplasty should, in my opinion, be your own secret and serve to enhance your facial features while making you feel more beautiful or handsome. That is the art of plastic surgery.
Patient: 17363952