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REVISION (redo) RHINOPLASTY

Rhinoplasty Before and After Photos  Facial Plastic Surgery
Before and  After's Pictures NJ New Jersey

Examples of some of Dr. Scaccia's surgical results.
All photos are untouched and shown with patient's permission.
Revision (redo) Rhinoplasty

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1a before

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1b after

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2a before

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2b after
Two-month postoperative result of patient who underwent corrective rhinoplasty to improve multiple deformities left by a prior surgery elsewhere. Widened nasal bones were narrowed, mid-nose depression was improved, and cartilage graft was placed along dorsum to give more height to top portion of nose. Supratip fullness was also debulked. Airway notching and nostril size were normalized. Tip now more symmetric and triangular in shape. Open rhinoplasty approach was utilized and resulting scar as seen on "worm's eye view" is barely viable even at this early stage of healing.

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3a before

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3b after

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4a before

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4b after

Revision (redo) Rhinoplasty

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after

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Three week post-op result of swimsuit model who had undergone initial rhinoplasty elsewhere leaving her with deformities of her nostrils and tip and also irregularities along the top of her nose. Utilizing open rhinoplasty approach with cartilage grafting, nose is now more harmonious with even nostrils, natural tip and smooth dorsum.

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Revision (redo) Rhinoplasty

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Two week post-op view of patient who underwent prior reconstruction by another surgeon one year ago, leaving her with deformities as seen in the before pictures. After extensive surgery using the "open rhinoplasty" technique and ear cartilage grafting to tip of nose a more natural and pleasing appearance is obtained. Note in post-op view almost absence of external incision used for surgery as seen on "worm's-eye view," nostrils now more symmetrical, crooked nose has been straightened, hanging tip of nose has been shortened, and hump on nose removed. Also breathing is dramatically improved.

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Revision (redo) Rhinoplasty

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Three months post-op views of patient who had previously underwent two successful procedures by another surgeon. Multiple onlay ear cartilage grafts placed along top of nose and to tip to restructure normal anatomy. Also note on lateral view turned up tip was lengthened downward. Lower eyelid fat was also removed at the same time by using "no scar technique."

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Revision (redo) Rhinoplasty

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Patient had two previous nasal operations by another surgeon who left her with a widened bony bridge, distorted asymmetric tip and breathing problems. Post- op pictures demonstrate the result of successful narrowing of nasal bones and recontouring of tip with cartilage and fascia grafts. Breathing also improved with septoplasty and turbinectomies. Nose should continue to narrow and define as swelling subsides over the next year.

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Revision (redo) Rhinoplasty

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Nose initially done elsewhere and subsequently corrected at our center with ear cartilage grafts. Sinus surgery done at same time. Full description can be found in Dr. Scaccia's book chapter which is published in the text "Surgical Reconstruction of the Face and Anterior Skull Base." Copies available upon request.

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Revision (redo) Rhinoplasty

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Six week post-op views of nose previoiusly operated on by another surgeon 10 years ago. Frontal view demonstrates improvement in "inverted V" deformity of nose which gave the appearance of almost two separate disconnected noses. Lateral view demonstrates improvement in polly beak deformity by removing extra cartilage along the top of the nose with placement of double tip graft for correction of blunted/rounded tip deformity. Top of nose maintained strong and natural because of patient's preference and her tall height.

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