Six week post-operative view of a male who underwent rhinoplasty to correct significant nasal deformities present since childhood as a result of trauma to his nose. As can be seen in his preoperative pictures, multiple deformities were present, which included a severely crooked nasal dorsum to the left and a twisted asymmetric nasal tip and bifidity of his nasal tip. As can be seen in his post-operative pictures, he successfully underwent correction of all these deformities with straightening of his nose and realignment of his alar cartilages using a combination of suture and graft techniques. Multiple onlay cartilage grafts were placed over the deficient areas and in his right alar tip. An onlay cartilage graft taken from his septum was placed over the right mid dorsum of his nose to help camouflage a depression in that area. A tip graft was also used to help camouflage and correct the bifidity of his tip. In addition, he underwent chin augmentation to better balance the lower third of his face.

Early 10-day post-operative result of a young man who underwent a reconstructive reduction rhinoplasty and chin augmentation. As can be seen on his lateral profile, a moderate cartilaginous and bony nasal hump was removed to create a more pleasing and straighter dorsal profile. In addition, nostril show was also slightly reduced to improve nasal appearance. The nasal tip was also refined utilizing suture and tip grafting techniques. Small alar wedge resections were also done to reduce flaring nostrils. The nose is more defined and structured in appearance but yet still maintains masculine qualities. In addition, notice the improvement in chin projection as provided by a silastic implant that was placed through a submental incision. Care was taken not to over-project the chin as the patient already had a pre-existing deep sulcus below the lower lip and efforts were made not to over-exaggerate this.

Very early 12-day post-operative result of a young man who underwent reconstructive rhinoplasty and chin augmentation. As can be seen, especially on his lateral views, a large dorsal, bony and cartilaginous hump was removed, excessive nostril show was reduced and a cartilage tip graft was placed to help prevent over-rotation of the tip. In addition, the full nasolabil angle was reduced and brought back to allow for a more pleasing lip/nose junction. An extended medium-sized pre-jowl implant was placed through an external approach to allow for a very subtle but more contoured jawline. "Worm's-eye" base view demonstrates a more symmetric tip and nostril appearance. The external columella scar which was utilized for this open approach is barely visible even at 12 days. Some residual swelling and echymosis (black and blue) can still be seen around his eyes in these early post-operative views, but should resolve shortly.

Two month post-op result of a male reduction rhinoplasty. Nose now appears straighter and more balanced on frontal view. Tip definition is beginning to appear but will improve as swelling subsides months later. Lateral view demonstrates better profile alignment with removal of hump but with maintenance of masculine features. End of nose was also shortened to make nostrils less apparent on side view.

Dramatic but natural appearing reduction of nasal hump appreciated best on side view. Decrease in bulbousity of nasal tip also performed. Note lack of significant swelling or bruising seen at one week post-op (middle picture) immediately after cast and tape removed from nose. Meticulous surgical technique allows for quick recovery. On "worm's-eye view," note correction of uneven nostrils which is important for obtaining natural balanced result.

before

after

Hump removal and narrowing of middle third sidewall region.
Note also improvement in skin quality secondary to acne therapy.

Small nasal hump reduction and minimal tip work done to refine nose
but yet maintain strong masculine characteristics.

Finesse rhinoplasty in young man who desired subtle changes in the appearance of his nose. Five week post-op view with some swelling still evident. Note improvement in lateral view with reduction of bony and cartilaginous hump while maintaining strong masculine appearance.

Congenitally deformed tip with asymmetric nostrils corrected with cartilage grafting.
Three week post-op result still swollen but depicts a straightened and more natural nose.