25-34 year old female who underwent an ethnic rhinoplasty and is 6 months post-operative. The patient’s goals were to narrow and decrease the overall size of the nose, remove the dorsal hump, and refine, narrow, and lift the tip of the nose. In this case, the patient’s nasal bones were narrowed, and the dorsal hump was removed. For the tip, the projection was increased and the tip complex was rotated upwards. The tip was refined and narrowed to improve the aesthetics and to improve definition of the tip, the nasal skin was thinned. Overall, this patient has a more aesthetic appearing and refined nose without changing the ethnic features of the nose or without creating an “operated” appearance. The patient reports feeling more confident, which is something we love to hear.
Rhinoplasty Photos - Case #1396
Patient Case #1396
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The plunging tip in rhinoplasty.
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Can you see the facelift scars? When the facelift scars are placed strategically and closed in a meticulous fashion, the scars are hard to see at the 6-12 month mark.
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Subtle changes on a thick skin patient after a primary rhinoplasty. Not all rhinoplasty procedures require major aesthetic or functional changes. In this case the dorsal hump was removed, the tip was refined, rotated and projected. Posted with permission.
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This is a great case highlighting how we manage a crooked nose after a previous septoplasty. In this case the dorsal hump was removed, the nose straightened by structuring the nose with rib cartilage, and the tip was lifted, rotated and refined. Beautiful and natural 6 month result for this patient. Posted with permission.
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Beautiful breast augmentation result for this patient. In this case we used a 350 cc gel implant, and placed the implant through a periareolar approach and in a submuscular plane. The patient is 5’4” and 125 lbs and went from a B cup to a full C/small D cup. Posted with permission.
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This is a great case to highlight the complexities associated with creating an aesthetic tip and how small changes can yield significant aesthetic improvement. In this case, the patient had a droopy tip, hanging columella, and too much nostril show. In the post-operative views you can visualize a tip that is lifted, more projected, and the presence of a more aesthetic alar-columellar relationship. Happy for this patient and her beautiful and natural result. Posted with permission.
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Proud of our research team for getting this published. In this article, we developed a unique risk assessment tool to predict major complications in facial aesthetic surgery. Thank you to the Aesthetic Surgery Journal for publishing our work.
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The hardest type of rhinoplasties for plastic surgeons to perform are cleft rhinoplasties. A major reason is that the anatomy of the nose and midface are asymmetric, therefore, you have an asymmetric nose sitting on top of an asymmetric midface. In this case, I used rib cartilage to rebuild the cartilage of the nose and fat transfer to improve asymmetries of the midface and lips. In the post-operative frontal views, you can see a straighter nose, the tip has been lifted, and the right nostril has been brought down and inwards. On profile view, you can see the dorsal hump was lowered, the tip of the nose has been lifted, rotated, and refined. The fat was placed in the cheeks and upper lip to improve the midface deficiency that is common in cleft lip patients. Posted with permission.
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