Female Rhinoplasty Gallery Page 7

Patient is a 36-year-old female with long-standing desire to improve the appearance of her nose. She felt that her nose looked masculine and unrefined, it was deviated and lacked tip definition. She wanted a softer appearing nose that was straight, feminine, and had a perky tip. She had done extensive research, and supplied numerous examples of the desired outcome she was looking for.

Rhinoplasty with Septoplasty with reduction of nasal dorsum, narrowing of nasal bones with placement of cartilagenous spreader grafts, and suture contouring of nasal tip cartilages. A cartilaginous columellar strut was placed to maintain tip projection. She was ecstatic with her surgical result and found an immense boost of self-confidence that is priceless. Communication between the patient and surgeon is paramount in achieving a successful outcome. Our protocol involves imaging of patient photos with review of patient’s desired outcomes aided with patient supplied photos of noses that they feel are attractive. This combined aesthetic vision is the reason for my consistent patient satisfaction and extremely low surgical revision rate.

Patient is an 18-year-old who had long desired a more angular and elegant nose. She felt that her nose was crooked, and always had to modify photos of herself to her satisfaction. She wanted a more defined and less bulbous nasal tip, with more sculpted nasal bones and cartilages that better complemented her facial features.

Rhinoplasty with Septoplasty with repair of deviated nasal septum, softening of the dorsal nasal hump and modification of nasal tip cartilages with resection and suture techniques. She had placement of a fascial graft to her nasal radix (where nose meets forehead) to feminize her nasal profile, and cartilaginous grafts to the nasal tip to give long term structural support. She was delighted with her new nose, and found it to be an amazing boost to her confidence and self-image.

Patient is a 16-year-old female who desired a more feminine and symmetric appearing nose. She avoided having her photo taken due to her perceived masculine profile, and her crooked nasal tip. She desired a straighter nose with a more feminine profile and nasal tip that would better complement her facial features.

Rhinoplasty with septoplasty, reduction of nasal dorsal hump, straightening of nasal bones, suture contouring of nasal tip cartilages, and placement of fascial and cartilaginous grafts to improve the nasal profile and provide long-term nasal support.

Patient is a 36-year-old female who desired a more elegant version of her current nose. She felt that her nose was too wide and her tip was too bulbous and did not like the fact that it turned down when she smiled, especially in photographs. She liked the small bump on the side of her nose as it runs in her family and wanted to keep a small portion of it. She had difficulty breathing after an old injury and wanted to fix this as well.

Rhinoplasty with narrowing of the nasal bones, contouring and shortening of the nasal tip and placement of cartilaginous grafts to improve breathing. She was delighted with the result.

Patient is a 23-year-old female model who has long standing difficulty breathing from nasal septal deviation. She has notedas she has aged that her nose has become more shifted to one side, and would like to improve her nasal breathing along with straightening her nose and softening her profile. She expressed concerns that she wanted changes to be subtle, basically just refinement.

Rhinoplasty with repair of deviated nasal septum, reduction of nasal hump and contouring of the nasal tip cartilages. The nasal bones were actually widened in addition to straightening them to add further proportion to her face. She is extremely happy with her results, and breathes normally.

Patient is a 19-year old female who suffered a nasal injury as a cheerleader in high school, resulting in a depression along the left nasal bones, with accompanying nasal breathing difficulties. She desired a softer, straighter nose that appeared without a dorsal hump, and more delicate and perkier nasal tip. At her initial consultation I was impressed how underappreciated the patients otherwise beautiful facial features were seemingly overpowered by her nose. I could predict a more balanced and proportioned face that would result after an appropriately performed rhinoplasty.

Procedure: Rhino/Septoplasty with dorsal hump reduction and lowering of nasal radix to make the nose appear as it started lower between the eyebrows giving a softer and shorter appearance to the nasal length. The nasal bones were narrowed, with the left side being reinforced with a cartilage graft to open up and widen that particular airway. The nasal tip was narrowed and make less bulbous and simultaneously rotated superiorly with long term support supplied through separate cartilage grafts. Her completed rhinoplasty provided much more balance to her facial features, enhancing her eyes, cheekbones, and lips. The patient was extremely delighted with her new nose, and mentioned other people had difficulty telling her exactly what was performed to make her look so much attractive.

Patient is a 20-year-old female who had been bothered by the width of her nasal bones and lack of definition of her nose. She did not like the bump on her nose and desired a more elegant nose with a prettier profile. She wanted to appear more attractive while maintaining the character of her face.

Rhinoplasty with septoplasty, narrowing and refinement of nasal bones and dorsum with creation of dorsal aesthetic lines. She also underwent contouring of the nasal tip cartilages to complete her rhinoplasty. She was delighted with the results.

Patient is a 35 year-old-female who had a long standing desire for a more defined and feminine appearing nose.She felt that her nose was too wide and bulbous and that her nose was “the first thing that people looked at”. She wanted a nose with balance, proportion and a nose that looked like she was born with".

Rhinoplasty with reduction of nasal tip projection and width, and narrowing of the nasal bones. Special attention was given to contouring her nasal tip cartilages and “tweaking” her skin envelope to give a more angular nose with better definition that better complements her facial features.

Patient is a 26 -year-old female with a long-standing desire to improve the appearance of her nose. She did not like the hump on her profile or the width of her nose, and wanted to have a more attractive and sculpted nasal tip that did not droop when she smiled. She had been hesitant about pursuing cosmetic nasal surgery for fear of ending up with an unpleasant result.

Rhinoplasty with Septoplasty and correction of nasal septal deviation, reduction of nasal dorsal hump and narrowing of nasal bones. She had contouring of her nasal tip with reduction and suture modification of tip cartilages. Cartilagenous grafts obtained from the septum were used to increase tip projection and maintain her final result. She was delighted with the softness and elegance of her nose and the preservation of both her ethnicity and unique “look”.

Patient is a 22-year-old female who just graduated from college and had always considered herself pretty, but had been long bothered by her nose, especially when she saw herself in photos. Specifically, she felt that her nose was over-projecting, not straight, and wanted like to have the bump taken away. She would like a less bulbous nasal tip, and a nose that appeared more like a model’s.

Rhinoplasty Septoplasty with straightening of the nasal septum, reduction of nasal dorsal hump and narrowing of nasal bones, and contouring of the nasal tip through cartilage reduction and suture techniques. Cartilage grafts were placed to maintain strength and support to the nose to maintain her beautiful result for years. Notice how her dorsal aesthetic lines flow from the top of her nose to its base. This is what makes a nose appear attractive and creates shadows that photograph beautifully.

Patient is a 27-year-old female who had a long standing desire for cosmetic improvement of her nose. She felt that her nasal bones were too wide and irregular, and that her tip lacked definition, and both made her appear a bit unrefined. She wanted a more elegant, more sculpted and defined nose that would better complement her facial features.

Rhinoplasty with reduction and narrowing of nasal bones, removal of a small dorsal hump, and refinement of the nasal tip through cartilage reduction and suturing techniques. She is absolutely delighted with her new appearance.

Patient is an 18-year-old female who for many years had desired a more beautiful and feminine nose. She felt that her nose was crooked and too long, and did not like the dip where her nose starts at her forehead as it tends to make her look harsh. She thinks her nasal tip is too broad and hooks down when she smiles or laughs. She would like a nose that appears softer and straighter and naturally complements her other facial features.

Rhinoplasty with septoplasty with straightening of the nasal septum, mild reduction of nasal hump, and softening of nasal tip cartilages to increase definition and angularity. Overall nasal tip projection was reduced, but in a controlled fashion with cartilage grafts placed to maintain tip support. A fascial graft was placed in the radix (top of nose between eyebrows) to soften the forehead/nasal junction and visually shorten the nasal profile.

Patient is a 19-year-old female who desired a more elegant nose that would better complement her facial features. Specifically, she felt that her nose appeared masculine and wanted to address the dorsal hump and over-projecting nasal tip that drooped when she smiled. She disliked her nasal tip and was looking for better definition, but wanted her nose to appear natural and unoperated on. Her desires were communicated through pre-operative imaging and a portfolio of noses from magazines that she deemed attractive.

Septorhinoplasty with reduction of dorsal hump, narrowing of nasal bones, and contouring of the nasal tip through cartilage reduction and suture techniques. A small tip graft was placed to improve tip definition. She is 6 months post-surgery with appropriate swelling in the supra-tip region, and can expect significantly improved definition of the nasal tip over the next six months. She also underwent autogenous fat transfer to the lips for a total of 5cc, with permanently improved lip volume and contour that beautifully complements her facial features.

Patient is a 23-year-old Hispanic female who had long desired a perkier and more feminine appearing nose. She specifically did not like her large dorsal hump and poorly projected nasal tip that drooped when she smiled. She desired a more refined and attractive appearing nose that better complemented her facial features, and hopefully augments her self-esteem.

Procedure: This patient is a classic example of someone with a classic hispanic nose. She had a dorsal hump and lacked nasal tip support that allowed the tip to droop upon smiling. She underwent a rhinoplasty septoplasty and reduction of boney dorsal hump and narrowing of the nasal bones with recontouring to create attractive dorsal aesthetic lines. She had placement of a cartilage strut connected to the now midline nasal septum to support the nasal tip and allow contouring of the nasal tip through suture techniques, and rotation to make the nose appear perky. The caudal septum was deepened to sharpen the angle between the lip and nose which served to make the upper lip look longer and more aesthetic, bringing balance the entire face. The patient was extremely happy with her results. She felt prettier, more confident, and others had difficulty exactly deciphering what was done.

Patient is a 28-year-old female who desires to have a more attractive and proportioned nose that would better accentuate her facial features. She felt that her profile lacked, she had an over projecting nasal tip and she disliked the overall width of her nose. We agreed that the bulbouse tip of her nose took attention away from her naturally voluptuous lips. With her wedding on the horizon, she came to our office looking to feel more natural and beautiful on her special day.

Rhinopalsty with septoplasty with reduction of dorsal hump, straightening and narrowing of nasal bones, and refinement of nasal tip cartilages through suture and excisional techniques. Note how with the establishment of dorsal aesthetic lines and reduction of and overly projecting nasal tip, the face looks more proportioned, with more balance and accentuation of the patient’s bone structure, lips, and eyes. Photos were taken approximately 4 months post-surgery. She is elated with her result.