Primary Rhinoplasty

Rhinoplasty Before & After: Deviated Septum Correction and Refined Nasal Appearance

Featured Patient

Our beautiful 28-year-old patient is seen 2.5 years after functional and cosmetic rhinoplasty surgery. She had a severely deviated nasal septum that was obstructing her airway, and causing a small irregularity and asymmetry on the base view of her nose. This was associated with a wide nasal appearance, and an overprojected profile nasal appearance. In the after photos, you can see a narrower and less projected nasal appearance that is completely natural. She is breathing well and she's thrilled with her results, and we are grateful that she has allowed us to post her photos.

Patient Review:

“Dr. Joseph is the only doctor I would trust with a rhinoplasty. He made me feel super comfortable throughout the entire process. My results were even better than what I could have expected. I’ve referred many friends to him who have also had great experiences. Post-op, Dr. Joseph was there with any questions or concerns I had even on the weekends during non- working hours. I would recommend him to everyone.”

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Rhinoplasty Before & After: Narrower Bridge, Refined Tip, and Improved Breathing

Rhinoplasty #277

Our handsome teenage patient is seen before and one year after functional and cosmetic rhinoplasty surgery. He had a severely deviated nasal septum that was causing severe nasal obstruction, and he was unhappy with his wide nasal appearance, dorsal hump, and droopy tip. He also had severely enlarged turbinates, likely due to allergies, which further contributed to his severe nasal obstruction. His surgery consisted of nasal narrowing, dorsal reduction, tip lifting, septoplasty, and turbinate reduction. The goals of male rhinoplasty surgery are to improve breathing while creating a less distracting and masculine nasal appearance. We are beyond grateful that our handsome patient has allowed us to post his photographs.

Rhinoplasty Before & After: Overprojected, Droopy Tip and Dorsal Hump Correction

Rhinoplasty #278

Our beautiful patient is seen before and six and a half months after rhinoplasty surgery in our practice. She is noted to have relatively thick nasal skin with a wide appearance in her bridge, tip, and nostrils. This is associated with a slight tension lip deformity, an overprojected and droopy tip appearance, and a dorsal hump. Our goals were to provide a narrowed appearance in her bridge, tip, and nostrils on front view, and a less distracting and more feminine nasal profile appearance, without excessive tip rotation. The maneuvers we used during her operation included resection of a prominent anterior nasal spine and a prominent posterior septal angle. Additionally, we lowered her bridge and performed medial and lateral osteotomies for maximum nasal narrowing. We also used an extended shield graft in her tip, and we performed alarplasty and narrowed her nostrils. In this case, and in most rhinoplasties that we perform, there was no need to remove excessive amounts of her native tip cartilage. When too much cartilage is removed from someone’s nasal tip, this tends to cause deepening of the alar creases, excessive rotation, and nasal obstruction by weakening the external nasal valves. We also left her upper lateral cartilages and lower lateral cartilages intact at the scroll region to avoid excessive rotation and to make sure that her airway remains patent. You can see a smaller, more feminine, and less distracting nasal appearance, with less nostril show on front view and no stigmata of previous surgery. We are grateful that our beautiful patient has allowed us to post her photos.

Rhinoplasty Before & After: Corrected a Wide Nasal Bridge, Dorsal Hump, and a Droopy Tip

Rhinoplasty #276

Our gorgeous 32-year-old patient is shown before and one year after her rhinoplasty surgery. She was bothered by the width of her nasal bridge, a dorsal hump, and a droopy tip. At her one-year visit, you can see a smaller, more refined, and feminine nasal appearance that blends beautifully with her features. We're so grateful she allowed us to share her photos.

Rhinoplasty Before & After: Corrected Both Cosmetic And Functional Issues

Rhinoplasty #276

These before and after photos are an excellent demonstration of both functional and cosmetic rhinoplasty surgery in our beautiful patient who has thin nasal skin. Her nasal obstruction was caused by internal nasal valve collapse, external nasal valve collapse, a deviated nasal septum to the right, and bilateral turbinate enlargement. She was also dissatisfied with the appearance of her nose. You can see that she had a bulbous droopy tip and a sizable profile hump. Her functional repair included septoplasty, bilateral spreader grafts, and bilateral lateral crural strut grafts. We also narrowed and rotated her nasal tip and took down her nasal hump. Additionally, you can see that the freckle at the base of her nose is permanently gone. We removed this with light electrocautery at the end of her rhinoplasty surgery. She is one year after surgery and we are all thrilled with her final result.

Patient Review:

“Dr Eric is amazing!!! Hi staff is so kind and accommodating and he is an exceptional surgeon! I had an aggressive turbinate removal and rhinoplasty and could not be happier with my results. My nose is now functional and beautiful! This was my second nose surgery (for breathing purposes) and wanted to get a rhinoplasty with it. He was the 5th doctor i saw for the procedure and I am so thankful for him! My recovery was easy and my result is amazing!!”

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