Patient is a 29-year-old female who desired a perkier and more feminine appearing nose. She did not like the prominent dorsal hump on her profile and wanted to change her nasal tip that went down when she smiled. She wanted a softer appearing nose that better complemented her facial features while appearing natural and maintains her ethnicity.
Rhinoplasty with Septoplasty with reduction of bony hump, narrowing of nasal bones and increase of nasal tip projection with placement of internal cartilage strut. The nasal tip cartilages were both contoured and repositioned to a perkier position. A fascial graft was placed at her radix (the top of the nasal bridge at the forehead) to soften the transition of the forehead to nose which makes the nose look more feminine and elegant. She loves her new nose at only 2 months post-op.
Patient: 17363822
Patient is a 24-year-old nurse who underwent a previous rhinoplasty by another surgeon who despite his confidence and assurances, was not successful in making the patient happy. She specifically did not like her flat and masculine appearing nose that lacked feminine tip projection and did not appear “perky” as she was promised. She did not like her profile as she felt that her nose is dominated by a bump and a wide and downturned nasal tip that appears to droop more when she smiled. She wanted a more feminine nose that had more delicate contours with a smaller and upturned nasal tip that better complemented her facial features.
Procedure: Secondary Rhino/Septoplasty with softening of dorsal hump, narrowing of nasal bones and recontouring of nasal tip cartilages through suture techniques. It was necessary to utilize an autologous cartilage graft (cadaveric costal cartilage graft) to provide support in order to increase nasal tip projection and maintain long term tip support. The patient also underwent autogenous fat transfer to the lower eyes and periorbital region to soften longstanding hollowing and pigmentation. She was absolutely delighted with her results and that is truly the best part of my job!
Patient: 17363818
Patient is a 22-year-old female who is a nurse and had a long-standing desire to have a rhinoplasty. She had never been fond of her profile and felt that her nose was too wide and without definition. She was self-conscious in photos as her nose would turn downward and her nostrils would flare. She desired a prettier nose that appeared more perky and feminine, while simultaneously naturally complementing her facial features.
Rhinoplasty with septoplasty with reduction of dorsal hump, increase of nasal tip projection, and contouring of nasal tip cartilages through suture techniques. A fascial graft was placed at the radix (top of nose) to her profile appear more elegant, and create more appealing dorsal aesthetic lines. She also underwent a total of 9 cc of autogenous fat transfer to her face, including periorbital, midface, and lips.
Patient: 17363810
Patient is a 16-year-old female with a long-standing desire to have a more attractive nose and stronger, more balanced profile. She was self-conscious of her nose, and this combined with the weakness of her chin had made her shy. She wanted to have a prettier and feminine nose that better balanced and complemented her other features.
Rhinoplasty with Septoplasty with reduction of nasal bump and refinement of nasal tip utilizing reduction and suture techniques. A fascial graft was placed at her radix (area at top of nose beneath eyebrows) to soften the transition between her forehead and nose giving the illusion of actually shortening the entire nasal profile. She also underwent chin augmentation with placement of a medium extended anatomic implant. She is delighted with her surgical results, and the transformational improvement in her confidence and poise are absolutely astonishing.
Patient: 17363823
Patient is a 24-year-old female with a desire to have a more attractive nose. She did not like her profile as she felt that her nose had both a prominent hump and a short tip that lacked projection. She desired a nose that appeared prettier and better complemented her facial features while looking natural and unoperated upon.
Rhinoplasty with Septoplasty with reduction of nasal dorsal hump and narrowing of nasal bones, placement of cartilage strut to increase and maintain nasal tip projection, and contouring of nasal tip cartilages. She was extremely delighted with her results.
Patient: 17363824
Patient is a 21-year-old female who is Kurdish ethnicity who wanted to have her nose aesthetically enhanced while maintaining her exotic features and identity. She specifically did not like her masculine appearing profile, and heavy wide appearing nasal bones and nasal tip that overpowered her other features. She wanted a softer and more feminine appearing nose that better complemented her facial features.
Procedure: Rhinoplasty with reduction of dorsal hump, lowering of nasal radix to make the nose appear that it starts lower making her nose appear shorter and more feminine. She also underwent narrowing of her nasal bones to create pleasing dorsal aesthetic lines, and her nasal tip was reduced through cartilage reduction and suture techniques. Her nostrils were both shortened and narrowed to make the nasal tip width more proportioned with the rest of her facial features. She was ecstatic with the results of her rhinoplasty as was her entire family.
Patient: 17363847
Patient is a 25-year-old medical professional with a long-standing desire for a more attractive nose that would better complement her facial features. Specifically, she did not like her profile with the prominent take off below her forehead that produced a harsh appearance. She wanted to reduce her dorsal hump, and refine her bulbous nasal tip and elongated nostrils that she felt she inherited from her father. She wanted a more feminine and “perky” nasal tip that she illustrated in her pre-operative photograph research.
Rhinoplasty with Septoplasty and straightening and reduction of nasal septum and nasal bones with reduction of nasal dorsum. She also underwent contouring and refinement of her nasal tip with calculated rotation to achieve the outcome she desired. A fascial graft was placed at the nasal radix at the top of the nose to soften the interface between the forehead and nose, improving her profile.
Patient: 17363882
Patient is a 16-year-old female who had a long desired for a smaller, more feminine nose. She had undergone a “liquid rhinoplasty” with fillers but was looking for a more long lasting result She felt that her nose was amorphous with lack of definition. She did not like the hump on her profile, nor did she like the fact that her nose went down when she smiled.
Rhinoplasty with Septoplasty with lowering of the nasal dorsum, narrowing and contouring of nasal bones, and reduction of nasal tip projection. Her nasal septum was the donor for cartilage grafts that were utilized to stabilize and rotate the nasal tip and allow the nose to be made predictably smaller with planned skin contraction. Along with these changes, her nostrils were both rotated and reduced to accommodate the new nasal shape. The post-operative photographs are approximately 4 months after surgery, and considerable nasal definition and angularity will progress over time. She is delighted with her results and much more confident in her appearance.
Patient: 17363891
Patient is a 27-year-old female who, for as long as she could remember, had been defined by her nose. She desires a softer and more feminine nose with a delicate tip and elegant profile.
Rhinoplasty with Septoplasty with straightening of deviated nasal septum and reduction of prominent dorsal hump. Her nasal tip was softened through suture techniques, and rotated by strategic placement of a cartilage graft that also served to accentuate her dorsal aesthetic lines. Notice how rotation and shortening of her nasal tip highlights her other facial features, and makes her lips appear more proportioned with the rest of her face. She said she feels beautiful. Photos were taken 5 weeks after surgery, relatively soon after her procedure and nose will significantly improve in appearance over the next 11 months.
Patient: 17363886
Patient is a 47-year-old female with a long-standing desire for a more feminine appearing nose that better complemented her facial features. Spending her career on camera, her nose has always bothered her, especially when she sees her profile. She feels that she inherited her father’s nose with a bulbous nasal tip that lacks projection, a dorsal hump, and wide asymmetric nasal bones that appear masculine. She desires a softer nose that appears natural and un-operated upon.
Rhinoplasty with septoplasty, lowering of dorsal hump with narrowing of nasal bones, contouring of nasal tip cartilages with placement of small tip graft to improve tip projection. She was delighted with the result.
Patient: 17363913
20-year-old female who has been self-conscious about her nose since she can remember. She avoids taking photographs and yearns for a more attractive nose that would help her feel pretty. She would love a more refined nasal profile and tip.
Rhinoplasty with refinement of profile through dorsal hump removal and sculpting of the nasal tip cartilages. She is delighted with the result.
Patient: 17363918
Patient is a 20-year-old female with a long-standing desire for a more elegant appearing nose that better matches her facial features. Specifically, she does not like the prominent nasal hump that makes her self conscious regarding her profile, and the how crooked her nose appears when facing someone. She also would like her nose not to droop when she smiles.
Rhinoplasty with straightening of nasal septum, removal of boney dorsal hump and contouring of nasal tip cartilages. She is delighted with her elegant nasal tip, straight nasal lines, and feminine appearing profile.
Patient: 17363975
Patient is a 23-year-old female who has long desired a nose that appears perkier and more feminine. She remembers how happy her mother was after having a rhinoplasty with Dr. Shapiro about 10 years ago, and how the nose has both appeared more attractive aged appropriately with time. She specifically desires a more delicate tip that is rotated and more defined, with softening and removal of her long-standing dorsal hump.
Procedure: Septorhinoplasty with removal of dorsal bony hump, and narrowing of nasal bones and cartilage to create appropriate dorsal aesthetic lines. Her septal deviation was repaired and cartilage utilized as internal cartilage grafts to both provide long-term support of her new shape, and to use as an internal graft to mobilize and fixate her tip to a more angular and projecting configuration. Tip cartilages were better defined through tip cartilage suture techniques. Photos are approximately 2 months after surgery and the result can be expected to improve over the next 10 months. Successful rhinoplasties require the utmost communication and technical skill to execute a beautiful result. The patient was ecstatic with her result, and her psychological boost increased confidence in herself is the reason that I enjoy performing this operation so much.
Patient: 114850904
Patient is a 24-year-old female who has long desired a straighter, more feminine nose with a perkier tip. She inherited her father’s nose that appears wide and very long with obvious external deviation. She wants her nose to appear shorter, softer, and cute.
Rhinoplasty with septoplasty, and reduction of dorsal hump with narrowing of the nasal bones to give her appropriate dorsal aesthetic lines. Her nasal tip cartilages were contoured and rotated to give her a much more feminine appearing nose.
Patient: 17365746
Patient is a 40-year-old female who had always desired a more feminine and elegant appearing nose. She did not like the width of her nose, and the masculine bump on her profile that she inherited from her father. She felt that it lacked the beautiful lines she sees on noses in magazines and wanted to achieve a nose that looked natural and complemented her facial features. Also, as she has aged, her face has become hollow and increasingly elongated, emphasizing her fatigued appearing eyes and narrow jawline. She wanted to look more attractive.
Rhinoplasty with reduction of nasal dorsum, narrowing of nasal bones, contouring of nasal tip cartilages and placement of fascial grafts to the glabella (region below eyebrows at top of nose) to soften and elongate her profile which actually makes the nose look shorter. She also underwent facial fat transfer for a total of 31cc injected to the lower eyes, midface, cheekbones, cheeks, jawline, and upper and lower lips. Photographs are 6 months post-op and her fat transfer volume is stable.
Patient: 17365744