Gallery

Patient is a 28-year female who felt that she had long been defined by her nose. She desired a smaller, less projecting nose with a softer profile and more feminine nasal tip. She had long-standing difficulty breathing and would like to improve her airway along with cosmetic enhancements.

Procedure: Rhinoplasty with septoplasty and reduction of nasal bump with lowering the nasal radix (where the nose starts between the eyebrows). The nasal bones were narrowed and contoured creating appropriate dorsal aesthetic lines, with opening of the internal nasal airways to better allow better breathing with reinforcement through placement of cartilaginous grafts. The nasal tip was shortened, rotated and contoured through cartilage removal and suture techniques. Lastly, the nostrils were shortened and reoriented to decrease nostril flare,and make the overall appearance softer and more feminine.

Patient 41

Patient is a 26-year-old Hispanic female who had long desired a smaller and more delicate nose that better matched her face. She was bothered by a large dorsal hump and an overly projected nasal tip that lacked feminine definition. She wanted to maintain “her look” yet improve her nose and better compliment her other facial features.

Procedure: Rhinoplasty/Septoplasty with placement of cartilage and facial grafts. In this patient, what may seem like a simple rhinoplasty is in fact complex. Her rhinoplasty began with the placement of a fascial graft from the temporal scalp (no hair was shaved or lost) to the radix (between her eyebrows) to elevate her nasal starting point. Her nasal bump was reduced along with narrowing of her nasal bones. Next, her nasal tip cartilages were recontoured through nasal tip suture techniques and a cartilage graft was placed to aid in the reduction nasal tip projection and provide long term support. Lastly, her nostrils width and flare were adjusted to complement her new nose. She was extremely delighted with her surgical result and felt much more beautiful without losing her “uniqueness”.

Patient 42

Patient is a 17-year-old female who desired a smaller, perkier, and more feminine nose. She did not like the bump on her profile, and wanted her nose to appear more narrow with a more refined nasal tip.

Rhinoplasty with septoplasty, reduction of nasal bone width with nasal hump reduction, and refinement of nasal tip cartilages through suture techniques supported with internal cartilage grafts for long-term stability.

Patient 43

Patient is a 39-year-old female who desired a nose that appeared more feminine and refined. She disliked the deviation and over-projection of her nasal dorsum, and thought that the nose started too high on her forehead. She wanted a more contoured nasal tip and more sculpted nasal bones, more like a model’s nose.

Rhinoplasty with Septoplasty and straightening of nasal septum, contouring of nasal bones and reduction of nasal dorsum. The top of the nose was lowered (radix reduction) giving the nose a more feminine and delicate appearance. The nasal tip cartilages were reduced and contoured enhancing the new dorsal aesthetic lines of the nose. The surgery was supported with internal cartilage grafts with stability appearing in the photos taken 6 years after the original rhinoplasty. She was so happy with her result that she brought in her daughter for the same surgery.

Patient 44

Patient is a 20-year old female with a long-standing desire to have a more defined and feminine appearing nose. She is of rather exotic descent, both Irish and Italian, and embraced her “look” but wanted to refine it. She has very thick skin and understood this affects the definition that is possible with her cosmetic result. Specifically, she wanted to soften her bump while making the entire nose look thinner with better angularity. She felt that her nasal tip and nostrils were too wide, and wanted a “perkier” nasal tip that did not go down when she smiled.

Procedure: Rhinoplasty Septoplasty with reduction of nasal bump and narrowing and contouring of nasal bones to created elegant dorsal aesthetic lines. Due to her very thick skin, cartilage grafts were used to provide internal support to the nasal tip, allowing it to be reshaped, shortened, and rotated in a predictable fashion. Lastly, her nostrils were shortened, rotated, and made more symmetric to complete her nasal surgery. She was ecstatic with her result.

Patient 45

Patient is a 17-year-old female who came down from Alaska for a Rhinoplasty after submitting photographs online. Specifically, she did not like her wide and asymmetric appearing nose that gave her a more masculine appearance to her otherwise feminine facial features. She disliked her low-hanging columella that became more evident upon smiling, for which she was increasingly conscious about. She yearned for a smaller, straighter, and softer appearing nose that would better complement her facial features.

Rhinoplasty with Septoplasty and straightening and reduction of her nasal septum and nasal bones along with contouring of the nasal tip through cartilage reduction and suture techniques. Her columella was reduced in order to shorten her nose and improve her nasolabial angle, evident by better visualization of her upper lip giving better proportion to her facial features.

Patient 46

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 47

Patient is a 17-year-old female who desired a nose that appeared more feminine and more narrow with a tip that appeared less bulbous and more proportioned. She especially disliked how the columella hung low and that her nose pointed down when she smiled. She desired nostrils that appeared less prominent and symmetric.

Rhinoplasty with narrowing of the nasal bones, contouring of the nasal tip cartilages and placement of a nasal tip graft to give more definition and angularity which make the nose appear more feminine. She also had her nostrils reduced and made more symmetric. She was delighted with the result.

Patient 48

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 49

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 50

Patient is a 28 year-old-hispanic female who had a long-standing desire to have a perkier and more feminine appearing nose. Specifically, she did not like the bump on her nose or her wide asymmetric nasal tip and nostrils that droop when she smiles.

Procedure: Rhino/Septoplasty with reduction of nasal hump, narrowing of nasal bones and reorientation of nasal tip cartilages through both excisional and suture contouring techniques. A supporting cartilaginous strut was placed to maintain long-term tip elevation to achieve the “perky tip” she desired, along with nostril narrowing to complete her rhinoplasty. Cartilage structural support and tissue undermining were keys to predictably and successfully reducing her overall nasal size. She was extremely with her surgical result.

Patient 51

Patient is a 20-year-old college student who felt that she lacked considerable confidence because of her self-conscious nature regarding her nose. She disliked having her photograph taken as she did not like the bump on her nose, and felt that her nasal bones and tip were too wide and made her appear unattractive. She had a history of nasal trauma and also desired to breathe better.

Septo/rhinoplasty with straightening of the nasal septum, straightening and contouring of the nasal bones, and reduction of nasal dorsal hump. She underwent simultaneous narrowing and contouring of the nasal tip with placement of cartilaginous grafts to increase tip projection and maintain long-term angularity. I suggested she have fat transfer to the midface and periorbital region, along with her lips. She breathes better now, and feels so much more confident in her appearance. She is approximately 6 weeks post-surgery and the fat transfer will be permanent, the nose can be expected to improve with regards to overall appearance and definition for up to a year.

Patient 52

Patient is a 32-year-old female with a long standing desire to correct a severely deviated nose. For as long as she can remember, she has been self conscious of her crooked nose, and hated her nasal profile and weak chin. She has always dreamed of feeling more attractive, and would like to breathe better. She would have addressed these issues at an earlier age, but was always afraid of the rhinoplasty results she has seen, as she felt that they looked very odd and surgical in appearance.

Rhinoplasty with septoplasty to correct the nasal deviation, reduction of nasal dorsal hump, straightening and narrowing of nasal bones, contouring of the nasal tip cartilages with placement of a cartilage tip graft to increase nasal projection, placement of a medium chin implant and liposuction of the submental and neck for a total of 40cc, and autogenous fat transfer to the upper and lower lips for a total of 8cc. The patient was ecstatic with the results with a renewed sense of confidence about her appearance.

Patient 53

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 54

Patient is a 27 year-old-female with a long-standing desire to improve the cosmetic appearance of her nose. Specifically, she did not like how her nose appeared very asymmetric and deviated to the right side of her face, and wanted a less pointy and projecting nasal tip. She avoided having her photo taken especially in profile, and had longed for a more feminine and softer appearing nose that more complemented her facial features.

Rhinoplasty with septoplasty and placement of cartilage grafts to reinforce the new midline position of her septum and nasal bones and enhance her dorsal aesthetic lines. She also underwent contouring of the nasal tip cartilages and reduction of the tip projection. She was ecstatic with the result, and loves her new nose.

Patient 55

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 56

Patient is a 24-year-old female who is active in the performing arts as an actress. For years she had considered having a rhinoplasty, but was concerned that she would lose her facial “character”. We met multiple times regarding what she desired, went over computer imaging of what I proposed, and she provided examples of noses she liked from magazines so I could decipher what she felt was attractive. We decided since she is tall (5’10”) we would not make her nose too small, just refined and straighter with removal of the large dorsal hump to improve her profile, something she has been self-conscious about since she can remember.

Rhinoplasty with septoplasty to straighten the foundation of her nose. She also underwent removal of the large dorsal hump and contouring of her nasal tip cartilages. Nostrils were also adjusted to provide further aesthetic balance. She was ecstatic with the result.

Patient 57

This patient is a 31-year-old female who had a crooked nose with a prominent hump that she wanted straightened and softened. She had been thinking about having her nose done for years but had hesitated as she knew exactly what she desired and had not found the right surgeon. She was interested in our office after reviewing the gallery photos multiple times, and liked the fact that imaging is performed pre-operatively with review of photographs of examples of noses that patients think are attractive. After her consultation she excitedly booked her surgery.

Rhinoplasty with Septoplasty with straightening of both nasal septum and nasal bones, reduction of nasal dorsal hump, and contouring of nasal tip cartilages through suture techniques with rotation of nasal tip complex to match the tip “perkiness” she specifically desired pre-operatively. She is extremely happy with her rhinoplasty result at only one month post-op.

Patient 58

Patient is a 23-year-old female who was referred to our office from another rhinoplasty patient who was thrilled with her surgical results. This patient underwent a previous rhinoplasty with another surgeon and was unhappy with the outcome. She desired a smaller and less projecting nose that would better complement her features.

Revision rhinoplasty with take down of nasal dorsum and contouring of nasal bones, with reduction of nasal projection and refinement of nasal tip cartilages stabilized with internal cartilage grafts.

Patient 59

25 year-old-female who for some time has desired a more elegant and fitting nose for her facial features. She would like to make the profile straighter and the tip more defined in order to complement her other features. She specifically admires Princess Kate Middleton’s nose as an elegant example of what she would like.

Rhinoplasty with narrowing of nasal bones, take down of dorsal hump, and contouring of the nasal tip cartilages. She was delighted with the result and is included in our website video section being interviewed on TV regarding her rhinoplasty.

Patient 60