Gallery

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 41

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 42

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 43

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 44

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 45

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 46

Patient is a 23-year-old female model who has long standing difficulty breathing from nasal septal deviation. She has notedas she has aged that her nose has become more shifted to one side, and would like to improve her nasal breathing along with straightening her nose and softening her profile. She expressed concerns that she wanted changes to be subtle, basically just refinement.

Rhinoplasty with repair of deviated nasal septum, reduction of nasal hump and contouring of the nasal tip cartilages. The nasal bones were actually widened in addition to straightening them to add further proportion to her face. She is extremely happy with her results, and breathes normally.

Patient 47

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 48

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 49

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 50

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 51

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 52

31-year-old female who desires a more elegant nose. Specifically she would like the dorsal hump removed and wants a more elegant and contoured nasal tip. She would like to appear more attractive but wants to maintain her “ethnicity”.

Rhinoplasty with removal of dorsal hump and contouring of nasal tip cartilages.

Patient 53

Patient is a 50-year-old Asian female with a long-standing desire improve the appearance of her nose. She disliked her profile, and felt that her nose lacked adequate projection, especially near the brows. She wanted a thinner nose, with a more contoured and feminine nasal tip and nostrils. She wanted to avoid a silicone implant along the nasal dorsum, choosing rather to use her own tissue if possible.

Rhinoplasty with septoplasty, and placement of facial/cartilaginous graft to the nasal dorsum to provide height and projection. She also underwent contouring of her nasal tip with suture techniques and placement of a cartilaginous tip graft to add angularity and tip projection. Lastly, the nasal bones were narrowed, giving balance and proportion to the nose, further highlighting her cheekbones and eyes. Please note her beautiful dorsal aesthetic lines. She was delighted with the result.

Patient 54

Patient is a 36-year-old female who desires a more elegant nose that complements her facial features. As long as she can remember she has not liked having her picture taken, especially the side view as she feels that her nose looks too big and masculine. She would like a more refined profile and more feminine nasal tip. She has thought of having this done as long as she can remember, but hesitated because she has wanted a very natural appearing result.

Rhinoplasty with reduction of nasal dorsum, contouring of nasal tip cartilages, and narrowing of nasal tip. Notice how beautifully symmetric her facial features appear now with accentuation of her eyes and lips. She was ecstatic with the result, and no one has asked her whether she had her nose done.

Patient 55

Patient is a 35 year-old-female with a long standing desire to improve the appearance of her nose. Specifically she does not like the crooked appearance of the nose when looking from the front, and the hump from the side makes her self-conscious about having her picture taken. She would like a straighter more attractive appearing nose that suits her face and does not look operated upon.

Rhinoplasty with septoplasty to straighten the nose, and reduction of the nasal dorsum and contouring of the nasal tip cartilages. Photos are at 6 months after surgery, hence there is swelling at the nasal tip which will appear crisper and more defined at a year. She was delighted with the results.

Patient 56

17 year-old-female who would like to have a prettier nose while maintaining her ethnicity. Specifically she does not like the hump on her profile and the feels that her nose is too wide. She is also bothered by the fact that her nasal tip goes down when she smiles and subsequently she does not like to have her picture taken.

Rhinoplasty with narrowing of the nasal bones and tip , take down of the dorsal hump, and contouring of nasal tip cartilages. Both she and her family were very happy with the result. Photos are approximately 5 months after the procedure and her nose will further define itself over the course of the year.

Patient 57

Patient is a 40-year-old female who had always desired a more feminine and elegant appearing nose. She did not like the width of her nose, and the masculine bump on her profile that she inherited from her father. She felt that it lacked the beautiful lines she sees on noses in magazines and wanted to achieve a nose that looked natural and complemented her facial features. Also, as she has aged, her face has become hollow and increasingly elongated, emphasizing her fatigued appearing eyes and narrow jawline. She wanted to look more attractive.

Rhinoplasty with reduction of nasal dorsum, narrowing of nasal bones, contouring of nasal tip cartilages and placement of fascial grafts to the glabella (region below eyebrows at top of nose) to soften and elongate her profile which actually makes the nose look shorter. She also underwent facial fat transfer for a total of 31cc injected to the lower eyes, midface, cheekbones, cheeks, jawline, and upper and lower lips. Photographs are 6 months post-op and her fat transfer volume is stable.

Patient 58

Patient is a 24-year-old female who has long desired a straighter, more feminine nose with a perkier tip. She inherited her father’s nose that appears wide and very long with obvious external deviation. She wants her nose to appear shorter, softer, and cute.

Rhinoplasty with septoplasty, and reduction of dorsal hump with narrowing of the nasal bones to give her appropriate dorsal aesthetic lines. Her nasal tip cartilages were contoured and rotated to give her a much more feminine appearing nose.

Patient 59

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 60