Gallery

Patient is a 30 year-old female who underwent a previous rhinoplasty and was unhappy with the appearance of her nose. She felt that her nose did not appear symmetric, and was disappointed with her bulky and down-turned nasal tip. She desired a model’s nose with a more elegant profile and delicate tip that better complemented and accentuated her facial features.

This patient had a classic “polybeak deformity” after her previous rhinoplasty. This is due to formation of excess scar tissue at the nasal tip, and often over reduction of cartilages without adequate support. She underwent Secondary Rhinoplasty with narrowing of nasal bones and contouring of nasal tip with placement of cartilage grafts to the mid-nasal vault, cartilage support of the nasal tip, and cartilage tip graft all from ear donor sites. Note that she now has beautiful dorsal aesthetic lines with narrower nasal bones, and a delicate model-like nasal tip that appears more feminine and refined. She was delighted with her rhinoplasty result.

Patient 41

Patient is a 25-year-old female who suffered a traumatic nasal fracture leaving her nose deviated and appearing different than she remembered. She would like her nose straight along with reduction of the nasal hump that has bothered her throughout her youth. She would like a more defined nasal tip that looks more elegant and makes her look prettier.

Rhinoplasty with correction of septal deviation, contouring of the nasal tip cartilages, and take down of dorsal hump with narrowing of the nasal bones to accentuate her facial features.

Patient 42

Patient is a 44-year-old female with a long-standing dissatisfaction of her nasal appearance, having been very self-conscious about having her photo taken. She realizes that her nose is a “family trait”, present in her father and one of her brothers. She disliked how overly-projecting her nose appears, and hates her bulbous split tip and hanging columella that always show up in photographs. She would like a nose that appears smaller, more feminine, and better complements her facial features without looking obviously altered.

Rhinoplasty with septoplasty, reduction of nasal dorsal profile and nasal tip projection, and alteration of nasal tip cartilages through excisional and suture techniques. She also underwent narrowing of her nasal bones to create appropriate dorsal aesthetic lines. She was absolutely ecstatic with her rhinoplasty result.

Patient 43

Patient is a 22-year-old female who has a long-standing desire to improve the appearance of her nose. Specifically, she does not like her profile as she feels it looks masculine and does not complement her other facial features (which she likes). She thinks that her nose on front view appears off-center and wide, and is very conscious of the asymmetry of her nostrils. Though she has wanted a rhinoplasty for years, she has been hesitant as her mother had her nose done, feels it looks like a “nose-job”. She desires a softer more elegant appearing nose that enhances her facial features, without looking operated on.

Rhinoplasty with septoplasty to straighten the nose, reduction of the nasal hump, and contouring of the nasal tip cartilages. A contemporary rhinoplasty should, in my opinion, be your own secret and serve to enhance your facial features while making you feel more beautiful or handsome. That is the art of plastic surgery.

Patient 44

Patient is a 33-year-old female who forever has desired a softer appearing nose. She does not like her profile, as she hates her nasal dorsal hump; and dislikes how crooked her nose appears from the front. Accordingly, she avoids having her picture taken. She is also bothered by her lack of jawline and neck definition. She desires simply to look and feel more attractive.

Rhinoplasty with removal of dorsal nasal hump, straightening of the nasal septum, narrowing of the nasal bones, and contouring of the nasal tip cartilages. She also underwent liposuction of the neck and chin, with autologous fat transfer to the jawline, chin, upper and lower lips for a total of 10cc. She is ecstatic with the result.

Patient 45

Patient is a 29-year-old female who has long desired a more elegant nose that better complements her facial features and appears more soft and feminine. Specifically she does not like her rather bulbous nasal tip and is very self-conscious regarding her profile and subsequently avoids having her photograph taken. She also dislikes that her nasal tip turns down when she smiles. She wants a more delicate appearing nose that better suits her face and makes her feel more attractive.

Rhinoplasty with septoplasty, contouring of the nasal tip cartilages, reduction of the nasal projection, take-down of dorsal hump and narrowing of the nasal bones. She was ecstatic with the result.

Patient 46

Patient is a 59-year-old female who had always disliked her thick and bulbous nose, and desired a more elegant profile that appeared more feminine.

She underwent a Rhinoplasty with Septoplasty and reduction of the nasal dorsum, reduction and suture contouring of the nasal tip, and fascial graft to the radix to soften the transition of the forehead to nose. She was ecstatic with her surgical result, and feels beautiful.

Patient 47

Patient is a 58-year-old female wanted to appear younger and more attractive. She is very athletic, and likes to keep a trim figure, but as she ages she has found it difficult to keep youthful volume in her face. She enjoyed the results from soft-tissue fillers but was seeking a more precise and global solution, with longer lasting results. She was specifically bothered by her sagging brow, her tired and undefined upper and lower eyes, her jowls and her down-turned mouth. She had broken her nose multiple times, and did not like her profile with its plunging tip and dorsal hump.

High SMAS Facelift, endoscopic browlift, upper and lower blepharoplasty, Rhinoplasty with septoplasty, reduction of dorsal hump, and contouring of nasal tip cartilages, and autogenous fat transfer to the face for a total of 35 cc including lower eyes, midface, cheekbones, jawline, and upper and lower lips.

Patient 48

Patient is a 15-year-old female who since she can remember has been very self-conscious of her nose and felt that it is too large and hooked, and without any specific shape at its tip. She would avoid photographs whenever she could, and lacked the self-confidence of her peers. She desired a more proportionate nose that better complemented her facial features and made her feel pretty.

Rhinoplasty with septoplasty, reduction of dorsal hump and contouring of nasal tip cartilages with increased nasal tip projection. She also underwent a chin augmentation with placement of a medium extended anatomic chin implant to improve facial balance and proportion which greatly enhances the overall aesthetic result.

Patient 49

Patient is a 22-year-old female who underwent a previous septoplasty for deviation and difficulty breathing performed by another surgeon. She still had breathing problems, along with an obviously deviated nose that she wanted to make straighter and more attractive. Specifically, she disliked the overprojection of her nasal tip, the obvious dorsal hump and the fact that she felt that her nose started too low, making her forehead appear too long. She desired a nose that better complemented her facial features with more angularity and feminine appearance.

Rhinoplasty and Septoplasty with placement of cartilage grafts to maintain the integrity of the septal repair, reduction of dorsal hump, layered tip graft to improve tip angularity and projection, and a deep temporal fascial graft to the radix (the junction of the nose and forehead) to raise the starting point of the nose, giving improved balance and proportion to the overall result. She was ecstatic with her result.

Patient 50

Patient is a 20-year-old female with a long-standing desire for a more elegant appearing nose that better matches her facial features. Specifically, she does not like the prominent nasal hump that makes her self conscious regarding her profile, and the how crooked her nose appears when facing someone. She also would like her nose not to droop when she smiles.

Rhinoplasty with straightening of nasal septum, removal of boney dorsal hump and contouring of nasal tip cartilages. She is delighted with her elegant nasal tip, straight nasal lines, and feminine appearing profile.

Patient 51

Patient is a 36-year-old female who traveled from Mexico with a long-standing desire to have a more attractive nose. Since she could remember, she had been bothered by her plunging nasal tip, her wide nasal bones, and the prominent dorsal hump she had on her side profile. Because of the dislike of the way her nose appeared, she did not like having her picture taken, and disliked the way her nasal tip would go down when she smiled, making her feel insecure. She wanted a more feminine appearing nose that looked elegant, and would better enhances her facial features.

Rhinoplasty with Septoplasty and reduction of nasal hump, narrowing of nasal bones, placement of cartilage grafts to support and maintain increased nasal tip projection, and reduction and suture contouring of nasal tip cartilages. She also underwent an upper blepharoplasty. She was delighted with the results, and feels feminine and beautiful now.

Patient 52

Patient is a 32-year-old female with a long-standing desire for a more elegant and feminine nose. She felt that she inherited her father’s nose, and that it did not match her other features for which she is quite pleased. She thought that her nose was too wide, and her nasal tip lacked definition giving her an unrefined appearance. She wanted a nose that would better accentuate and complement her facial features and make her feel more beautiful.

Rhinoplasty with reduction and narrowing of nasal bones, contouring of nasal tip with suture and cartilage grafting techniques, and placement of fascial graft at nasal radix (superior aspect of nose) to soften the forehead-nasal confluence. She is only 5 weeks after surgery and absolutely delighted with her results although still quite swollen. She can expect 15-20% reduction of nasal size with much improved nasal definition in the future.

Patient 53

Patient is a 36-year-old nurse with a long-standing desire to improve the appearance or her nose. She had broken her nose as a teenager, with subsequent crookedness that she wanted to correct. When she saw photos of herself, she felt her nose appears masculine and over-projecting and that it did not complement the rest of her face well. She would like a softer and more feminine nose that appears natural and straight before her upcoming wedding.

Rhinoplasty with Septoplasty with reduction of dorsal bony hump, contouring of nasal tip cartilages through excision and suture techniques, and placement of deep temporal graft to the radix, to soften the confluence of the forehead and nose giving a more feminine and “model-like” result. She is delighted with the result, and feels much more confident and attractive!

Patient 54

Patient is an 18-year-old who had long desired a more angular and elegant nose. She felt that her nose was crooked, and always had to modify photos of herself to her satisfaction. She wanted a more defined and less bulbous nasal tip, with more sculpted nasal bones and cartilages that better complemented her facial features.

Rhinoplasty with Septoplasty with repair of deviated nasal septum, softening of the dorsal nasal hump and modification of nasal tip cartilages with resection and suture techniques. She had placement of a fascial graft to her nasal radix (where nose meets forehead) to feminize her nasal profile, and cartilaginous grafts to the nasal tip to give long term structural support. She was delighted with her new nose, and found it to be an amazing boost to her confidence and self-image.

Patient 55

Patient is a 19-year old female who had long desired a straighter, more elegant nose. Specifically, she felt that her nose was crooked, and she did not like her full nasal tip that did not have any definition. She tried to avoid photographs of her smiling, as she did not like how her nose turned down in such situations.

Rhinoplasty with correction of nasal septal deviation, lowering of nasal profile with elimination of small dorsal hump and narrowing of her nasal bones to create appropriate dorsal aesthetic lines. She also underwent recontouring of her nasal tip cartilages with shortening and tip rotation. She is delighted with the result.

Patient 56

Patient is a 36-year-old female with long-standing desire to improve the appearance of her nose. She felt that her nose looked masculine and unrefined, it was deviated and lacked tip definition. She wanted a softer appearing nose that was straight, feminine, and had a perky tip. She had done extensive research, and supplied numerous examples of the desired outcome she was looking for.

Rhinoplasty with Septoplasty with reduction of nasal dorsum, narrowing of nasal bones with placement of cartilagenous spreader grafts, and suture contouring of nasal tip cartilages. A cartilaginous columellar strut was placed to maintain tip projection. She was ecstatic with her surgical result and found an immense boost of self-confidence that is priceless. Communication between the patient and surgeon is paramount in achieving a successful outcome. Our protocol involves imaging of patient photos with review of patient’s desired outcomes aided with patient supplied photos of noses that they feel are attractive. This combined aesthetic vision is the reason for my consistent patient satisfaction and extremely low surgical revision rate.

Patient 57

Patient is a 16-year-old female who desired a more feminine and symmetric appearing nose. She avoided having her photo taken due to her perceived masculine profile, and her crooked nasal tip. She desired a straighter nose with a more feminine profile and nasal tip that would better complement her facial features.

Rhinoplasty with septoplasty, reduction of nasal dorsal hump, straightening of nasal bones, suture contouring of nasal tip cartilages, and placement of fascial and cartilaginous grafts to improve the nasal profile and provide long-term nasal support.

Patient 58

Patient is a 33 year-old female from Australia who wanted a more attractive nose. She stated that “she got her nose from her father”, and disliked that it appeared masculine and bulbous, and turned down in photos when she was smiling. She hated her large nostrils. She wanted a smaller, perkier, and more feminine appearing nose that better complemented her facial features.

Rhinoplasty with septoplasty, with narrowing and equalization of nasal bone positions and suture contouring of nasal tip cartilages. She also had reduction of her dorsal hump and placement of a fascial graft to the radix (the top of her nose between the eyebrows) to make the nose appear shorter and more feminine. The nostrils were also reduced to complement her smaller and more feminine nose.

Patient 59

Patient is a 36-year-old female who desired a more elegant version of her current nose. She felt that her nose was too wide and her tip was too bulbous and did not like the fact that it turned down when she smiled, especially in photographs. She liked the small bump on the side of her nose as it runs in her family and wanted to keep a small portion of it. She had difficulty breathing after an old injury and wanted to fix this as well.

Rhinoplasty with narrowing of the nasal bones, contouring and shortening of the nasal tip and placement of cartilaginous grafts to improve breathing. She was delighted with the result.

Patient 60