FEMALE RHINOPLASTY*

Examples of some of Dr. Scaccia’s surgical results. All photos are untouched and shown with patient’s permission.
Disclaimer: Results may vary*

Female Rhinoplasty*

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Early six week postoperative view of a young lady who underwent a reconstructive rhinoplasty which included improvement of both her nasal profile, frontal view, oblique and submental bird’s eye view. As can be seen in her frontal picture, there is more narrowing and refinement of her nasal tip which will continue to improve as swelling subsides. On the profile view, the bony cartilaginous hump has been lessened and smoothed for a more pleasant, elegant look. Her bird’s eye submental view demonstrates conversion of her boxy tip to a more tripod narrowed tip with an improvement in nostril asymmetry. The open rhinoplasty scar is still somewhat visible at these early stages but will with time almost completely disappear.

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Female Rhinoplasty*

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18 month post-op view of a young lady who underwent cosmetic rhinoplasty that included correction of a bony cartilaginous hump and narrowing of her nose. Patient was so happy with the final appearance of her nose that she shared her wedding photos with us.

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Female Rhinoplasty*

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Three week postoperative view of a young lady who underwent correction rhinoplasty, septoplasty and bilateral inferior turbinectomy. She was not concerned about the appearance of her tip and for this reason it was not surgically altered during the procedure. She underwent a closed/endonasal rhinoplasty which involved correction of her bony and cartilaginous hump as can be seen on her profile and three-quarter view and also a slight correction in columella show which allowed a mild decrease in the amount of nostril show on lateral view and a more pleasing nasolabial angle. Since preoperatively her nose was straight and there was no manipulation of the tip, pre and post frontal views demonstrate minimal change. All of the obvious improvement in her nasal appearance can be seen on the lateral and three-quarter views. As she is still early in her postoperative healing, the nose will continue to define and narrow in appearance.

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Female Rhinoplasty*

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Very early 12 day postoperative result of a young lady who underwent correction rhinoplasty, septoplasty and inferior turbinectomy. As seen in her preoperative pictures, the nasal deformity included a prominent cartilaginous nasal hump and over-projected, under rotated bulbous tip with a resulting short white upper lip deformity. Utilizing an open rhinoplasty approach, the patient can be seen in the postoperative pictures to now have a more pleasing aesthetic profile with the correction of the bony cartilaginous hump. The tip is now raised and debulked in a more elegant and natural fashion. In addition, the face appears more balanced from lifting up the tip as more of her skin between the nose and vermillion border of the upper lip is now visible with a hint now of some nostril show. There is also some mild swelling towards the top of the nose between the eyes as a result of correcting bone in that area which will dissipate with time. The patient has also noted significant improvement in her breathing.

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Female Rhinoplasty*

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Six week postoperative view of a young lady who underwent correction rhinoplasty, septoplasty, turbinectomy and endoscopic sinus surgery. As can be seen in the postoperative pictures, on frontal view her nose is now straighter. The tip is lifted and less bulbous. The tip will continue to narrow and define as it heals over the next few months. On profile, her bony cartilaginous hump was corrected to a more aesthetically appealing profile which also again is demonstrated on her three-quarter view. In addition, her breathing and sinus symptoms have significantly improved.

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Female Rhinoplasty*

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Three week postoperative views of a young lady who underwent aesthetic rhinoplasty and septoplasty and turbinectomy. As can be seen in her preoperative pictures, the patient was unhappy with the appearance of her nose because of a moderately size dorsal bony cartilaginous hump, a mild boxy wide tip, slight over-projection of the nose mostly related to excessive nasal spine protuberance and a deviated cartilaginous septum that could be seen extending caudally into her left nostril. An open rhinoplasty was performed along with a septoplasty and partial inferior turbinectomies to improve her breathing. As demonstrated in the postoperative pictures, it is already obvious in this early postoperative period that her nose is more aesthetically pleasing with more attractive contours and more proportionate to the rest of her facial features. Her transcolumellar incision used for the open rhinoplasty is still visible but healing well and should be almost invisible when healed. No cartilaginous grafts were necessary or utilized for the procedure.

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(back to home)

Female Rhinoplasty*

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Preoperative and only 13 day postoperative views of a young lady who underwent correction rhinoplasty along with septoplasty, turbinectomy and endoscopic sinus surgery. As can be seen in the preoperative pictures, on frontal view her tip was somewhat twisted with a hanging medial crura to the left and a mildly deformed bulbous tip. Lateral view demonstrates a moderately sized cartilaginous bony dorsal hump and excessive nostril/columella show. Postoperatively, we can see even at this early stage of healing all these issues have been corrected. By performing an open rhinoplasty approach and an internasal septoplasty, her nose has become not only more proportioned and straightened in the upper two-thirds of her nose but also in the area of her tip and nostrils. The caudal septum was slightly shortened to allow for a more aesthetically pleasing alar columellar vertical distance. The tip is now thinner and more symmetric and the medial crura had been trimmed and repositioned into a more proportioned alignment. The dorsal bony hump was corrected and osteotomies were done to infracture and narrow the nose. No tip grafting was necessary in this case. In addition to improving the aesthetic appearance, the surgery has also benefitted her functionally by opening up her airway and correcting sinus congestion, headaches and postnasal drip that she previously suffered from.

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Female Rhinoplasty*

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Two year postoperative view of a young lady who underwent correction rhinoplasty along with a septoplasty, turbinectomy and sinus surgery. As can be seen in her preoperative photographs, the patient had a moderate sized bony cartilaginous dorsal hump. Her entire nose from the nasion down to the tip was deviated to the left. Her bony hump was somewhat asymmetric and more prominent on her right side. The patient underwent a correction rhinoplasty which involved cartilaginous and bony hump correction and osteotomies to narrow and straighten the nose. No tip work was necessary as her preoperative natural tip was already quite symmetric and aesthetically pleasing. In addition to the cosmetic improvements, her chronic sinus condition and breathing are much improved also.

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Female Rhinoplasty*

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Five week postoperative view of a young lady who underwent reconstructive rhinoplasty along with septoplasty, endoscopic sinus surgery and inferior turbinectomy. In addition, she also had Juvéderm injections to her upper and lower lips. As can be seen in the before images, her nasal deformities included an over-projected bulbous tip with a small cartilaginous bony hump with excessive caudal/nostril show. She also had significant breathing problems, especially on the left side, chronic sinusitis and nasal polyps. The patient underwent an open correction rhinoplasty that involved trimming, rotation and correction of her cartilaginous tip with further correction using a spanning suture and a small cartilaginous tip graft taken from her septum. A small bony cartilaginous hump was also corrected along with osteotomies. As can be seen in the five week postoperative image, the bulbosity of her tip and over-projection of her tip has been corrected. The overall shape and profile of her nose is more aesthetically pleasing and conforms to the shape of her face. She was also pleased with the increased projection and volume of her upper and lower lips and the improvement in her breathing and sinus symptoms.

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Female Rhinoplasty*

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Very early two week postoperative view of a young lady who underwent correction rhinoplasty along with septoplasty and turbinectomy to correct her breathing. No tip work was performed as the shape of her tip was quite acceptable preoperatively. On lateral view, an obvious bony cartilaginous hump was noted and corrected to a more aesthetically pleasing profile. In addition, her nasolabial angle connected to the bottom of her nose to her upper lip was quite obtuse and full and this was corrected by correcting some caudal septum and nasal spine. In addition, as can be seen on the bird’s-eye view, her deviated septum extended into a caudal dislocation into her left nostril which was successfully placed into the midline to improve her breathing on the left side of her nasal cavity which resulted in symmetrically shaped nostrils. The patient is still quite swollen especially around the bridge of the nose from the osteotomies that were performed to narrow it. It will continue to narrow and define over the next few weeks to months.

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Female Rhinoplasty*

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Three week postoperative views of a young lady who underwent rhinoplasty, septoplasty, turbinectomy and functional endoscopic sinus surgery. As can be seen in her preoperative views, the patient presented with a boxy wide tip that lacked support and drooped especially when smiling. She also had a wide dorsum with a prominent bony cartilaginous hump. Aggressive narrowing of the tip was done by resecting cartilage from the tip and using tip suturing techniques to help shape the nose into a more trapezoidal structure. In addition, cartilaginous grafts harvested from her septum were used to construct a strut to help support the tip along with a tip graft to add definition to her tip. As can be seen in the postoperative views, her tip is more narrowed, triangular in shape and lifted so that there is some nostril show from the anterior frontal view. Attempts were also made to deepen her nasal frontal angle just below the eyebrows, although this is a difficult area to treat because of dense bone. There is still significant swelling in that area which should resolve with time. Her dorsum is also somewhat swollen but improvements in correction of the bony cartilaginous hump are already evident. Base view demonstrates improved symmetry and shape of her nostrils with repair of a dislocated caudal septum into her left nares. An open rhinoplasty approach was used with an incision made in the middle of her columella which even at three weeks it is barely visible. The appearance of her nose will continue to improve after the next few months. In addition, her sinus symptoms and breathing are quite improved already.

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Female Rhinoplasty*

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Six week postoperative view of a young lady who underwent a correction rhinoplasty to improve the appearance of her nose and a septoplasty and turbinectomy to improve her breathing. In addition, a cartilaginous strut graft taken from her septum during the septoplasty was used to help lift up the tip to not only improve her breathing by opening up her nostrils and nasal valve but also to give more support to her drooping tip and more nostril show as seen in the lateral views. Postoperatively you can also see a correction in her moderately size bony cartilaginous hump, a smoother, femininely contoured profile. A dome correction along with spanning sutures were used in the tip to both decrease the projection of the tip from the face and also to narrow the tip cartilages as can be seen in her frontal AP views. Her nostril skin was not narrowed. All narrowing was done by correcting, debulking and suturing her nasal tip cartilages. Her tip definition and overall appearance of the nose will continue to improve as swelling subsides over the next few months.

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Female Rhinoplasty*

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Three week postoperative view of a young lady who underwent multiple procedures including reconstructive rhinoplasty, septoplasty and adenoidectomy and turbinectomy to improve her breathing, upper lip vermilion border lip lift, chin implant and neck liposuction and submental neck tuck. As can be seen in the preoperative pictures, the patient presented with a markedly deviated nose to the right probably secondary to a prior fracture with a small bony hump and spicules. She also had a depression in the mid vault of her nose on the left side with narrowing of her mid vault region as seen on the three-quarter view. She also had a small upper red mucosa of her lip, elongated white upper lip region between the red lip and the base of her nose. She also had somewhat of a mildly recessed chin and submental neck fat hypertrophy. It was felt that her neck was not only in the subcutaneous compartment but also in the deeper facial planes of the submental area underneath the platysma. For this reason it was felt that both liposuction of the neck and a submental neck tuck with deep fat correction and platysma muscle suturing was necessary. Her rhinoplasty involved correcting a small bony hump and placing a cartilaginous graft over her left mid vault depression. The lip advancement was done by excising 4.5 mm of upper lip skin to make her upper lip more in proportion with her lower lip and the rest of her face. A nice Cupid’s bow was also developed. A small extended prejowl implant was placed through the submental incision and the submental neck tuck as previously described was done. As can be seen in the postoperative pictures, she now has a more pleasing appearance to both her profile and frontal views of her face. Her chin, neck, upper lip and nose have more pleasing contours now and in balance with all three zones of her face. In addition, her breathing is significantly improved after correcting the deviated septum and performing the inferior turbinectomy and adenoidectomy. Her appearance will continue to improve as she is only at a three weeks postop.

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Female Rhinoplasty*

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Six month postoperative view of a young lady who underwent septorhinoplasty with functional endoscopic sinus surgery and liposuction of the neck. As can be seen in her side profile, a prominent dorsal cartilaginous bony hump was corrected to give her a more aesthetically pleasing profile. In addition, she was noted preoperatively to have over-projection of her tip secondary to excessive nasal spine bone in her upper lip. This was corrected to set back the nose at the base of the nostrils, again to enhance the appearance of the nose. Her wide amorphous tip was also narrowed to a more pleasing triangular configuration. Liposuction of her neck was also done through a single quarter-inch incision in the submental area to correct excessive fat in her upper and mid neck. This helped contour and delineate her mandible in a cervical mental angle. She was very happy with her aesthetic result and improvements in her breathing and sinus symptoms.

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Female Rhinoplasty*

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Four week postoperative view of a young lady who underwent correction rhinoplasty.
As can be seen in the postoperative views, she presented with a prominent bony cartilaginous dorsal hump and a moderately broad bulbous tip. The goal of surgery was to correct the hump and to narrow the tip without rotating the tip any higher than it presented preoperatively. This required the placement of a double tip graft constructed from her own septal cartilage to add more definition and prevent upward rotation of her tip and maintain her natural nasolabial angle. As can be seen in high in the nasal frontal area of her nose, there is still some considerable swelling causing some blunting of the angle, however this should resolve with time and eventually she will present with a more acute starting angle of the dorsum of her nose. She is already breathing much better from her septoplasty and partial turbinectomy.

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Female Rhinoplasty*

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Six week follow-up of a lady who underwent FINESSE correction rhinoplasty, septoplasty and turbinectomy for her nasal obstruction. The patient was in need of only minor refinements of a slightly bulbous tip and dorsal bony cartilaginous hump. In addition, her nasal obstruction on the left side was secondary not only to a deviated septum and swollen turbinates but she also had a collapsing left nasal valve that was addressed with a batten graft of cartilage placed over her weakened left alar cartilage. Her dorsum was also noted to be somewhat asymmetric and she required only a left osteotomy with nasal bone infracture. She also required a strut to help support the tip. As can be seen in the early postoperative pictures, her tip is now more symmetric and defined and the small bump on the dorsum of her nose is now gone.

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Female Rhinoplasty*

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Six week postoperative view of a young lady who underwent Finesse correction rhinoplasty.
As can be seen in her preoperative pictures, the patient presented with only a mild bulbosity of her nasal tip and a small dorsal bony cartilaginous nasal hump. This required refinement of the nasal tip using a double-dome and spanning suture technique with a conservative correction of tip cartilages. No tip grafting was necessary. She also had a small hump correction of both bony and cartilaginous tissue to help correct the small projection on her lateral view. Her more refined and narrowed tip can be observed both on frontal and three-quarter view where the domal highlights are now more closely approximated. In addition, she underwent functional corrective surgery for her impaired breathing and chronic sinusitis.

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Female Rhinoplasty*

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Very early two week postoperative views of a young lady who underwent correction rhinoplasty. As can be seen in the preoperative picture, she had a congenitally large nose with a very prominent bony cartilaginous dorsal hump and a long ptotic tip whose downward slant was accentuated with smiling. Her nose was also wide and her breathing was obstructed secondary to a deviated septum. As demonstrated in the postoperative pictures, the nasal hump is now gone, the tip is now rotated into a more pleasing position so that a hint of nostrils is now apparent on AP straight image and the nose is more feminine and aesthetically balanced to her face. Her breathing is also much improved since a septoplasty and turbinectomy were also performed during this procedure. There is obviously still significant swelling throughout her nose and inflammation around the incision that was made in her mid columella for the open rhinoplasty approach all of which should improve over the next few months.

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