Immediate on the table result of before/after of a closed rhinoplasty. This is a young 35 year old woman that was looking for small changes to enhance her aesthetic. She underwent a closed rhinoplasty, whereby all incisions were made internally. She also had chronic sinusitis, a nasal airway obstruction, and nasal valve collapse.
Immediate on the table result of #beforeandafter of a primary rhinoplasty. This wonderful, 22 year old woman, wanted to refine her trip. She had nasal breathing surgery at the same time, to correct her nasal septum and nasal valve repair.
Before and after photo of revision rhinoplasty with patient’s own rib. Patient had 2 prior surgeries that left him unable to breathe. His septum was collapsed in the front, replaced by scar, and deviated causing obstruction. He underwent an open structure septo-rhinoplasty for reconstruction. He now looks better and breathes better!
Excited to share before and after photos after reconstructive plastic surgery. This wonderful Park Avenue patient had three prior rhinoplasties that left him scarred and unable to breathe properly. This is what is called a “tertiary” rhinoplasty, and is very challenging from a surgical perspective. Each surgery he underwent increased the amount of scar in the nose, and reduced the available blood flow and vascularity. Adding to the difficulties is that his prior rhinoplasty surgeries were “reductive”, meaning that the original surgeons had removed critical portions of the nose, leaving the nose weakened and non-functional over time, causing significant collapse. I was fortunate to be entrusted with his fourth (and hopefully final!) revision rhinoplasty using his own rib to reconstruct the critical portions of his nose. He is 9 weeks postoperative in this photo, with some residual swelling, but is breathing again for the first time in years, and looking great!
Intra op photo of closed rhinoplasty. These rhinoplasty techniques use no visible incisions, minimizes post-operative pain and swelling, and reduces recovery time- so you can get back to life sooner and breathe better! I feel fortunate, humbled, and blessed to be trusted by my patients. We are safely returning to elective surgery and put in place protocols and policy ensuring the safety of patients and staff.
4 months before and after of my wonderful patient who underwent a rhinoplasty. This is an incredibly wonderful patient of mine that underwent some changes to her dorsum and nasal tip to enhance her look while improving her breathing. She is still only 4 months out and still has some swelling that will only continue to improve! I feel blessed to be trusted with my patient’s appearance.
One of my patients underwent a rhinoplasty only 1 month ago. She just needed some tip refinement and a lowered nasal hump that made a world of a difference! It enhanced an already harmonious and aesthetically balanced face. You can appreciate the gentle slope of her dorsum and the refinement of her tip in her after photo on the right. I feel so fortunate to be trusted by my wonderful patients with their appearance.
The patient presented with complaints of an inability to breathe after a reduction rhinoplasty many years ago. She underwent a revision rhinoplasty to improve her breathing.
She had complete blockage of her nasal breathing from prior surgeries that left her nose weak and collapsed. In the past, rhinoplasty was performed by removing and weakening nasal cartilages and bones that was designed to give an aesthetically pleasing result, but over time would cause collapse and nasal obstruction. The patient presented here was overall pleased with her external nasal appearance but could not breathe. This is a challenging case as the internal structure of the nose needs to be reconstructed without drastically altering the external appearance, especially in a young female patient. .
In order to make the nose stronger and open up the breathing passages, grafts need to be placed. Typically in primary rhinoplasty septal cartilage is used. However, this patient was missing the majority of her septum. Instead, through a 1.2 cm minimally invasive incision, the patient’s own rib cartilage was used to reconstruct the vital structures of the nose. I employ a very special technique that is low risk, and adds nothing to the recovery post operarively.
The patient subsequently underwent major nasal reconstruction with an enhanced look to an already aesthetically pleasing nose, and breathing better in the process.
Happy to share this before and after of this wonderful young gentleman after a closed rhinoplasty. No external incisions, minimal swelling, minimal pain, minimal down time.
Thrilled to share before and after results of my patient after a revision rhinoplasty. The patient is a very pleasant 39 year old woman that came to me complaining of a long standing infection for a year. She had a rhinoplasty 17 years ago, in which the original surgeon placed a synthetic implant. This became infected about 1 year ago!
In her preoperative photos, you can see that she has swelling, redness, and drainage from her nasal bridge. She also has what we call “saddling” of her nose. This refers to collapse of the nasal bridge. The goals of treatment were to eliminate the infection, correct the nasal deformity, and maintain the integrity of her breathing. She underwent a rhinoplasty with me with rib reconstruction through a minimally invasive 1.2 cm incision.
It is important for patients to recognize that placing foreign and synthetic implants in the nose carries a serious risk of infection, not only at the time of surgery, but many years later. This patient developed an infection after 17 years! In my practice I see infections that arise on average 11 years after the original surgery! These are extremely complicated problems as antibiotics typically cannot resolve the infection, and the implant usually is a major supportive structure. This patient was on antibiotics for almost a year, that failed to clear the infection. She sought treatment from multiple surgeons who recommended removing the infected implant and allowing her to heal for 1 more year followed by a second surgery for definitive reconstruction. Looking at the intraoperative photos after implant removal you can appreciate the gravity of this approach. She would essentially have no nose for a whole year! I offered her implant removal with reconstruction during the same surgery.
Many times, patient’s are worried that implant removal will alter the shape of their nose. This patient was particularly worried because she liked her overall nasal appearance (minus the infection!). Fortunately, using the rib made her nose look even better, and I am pleased to say that she extremely satisfied with her results. Feel very fortunate and blessed to be trusted with a patient’s face.
Very pleased to post before and after photos of my patient who had a rhinoplasty. The patient is a pleasant and wonderful 40 year old Male that came to me looking to fix the appearance of his nose.
The photos on the left show the before, where he had a droopy tip, dorsal hump and bony deviation to his left. Important considerations are to address all these areas without compromising the patient’s masculinity and keeping his nose in harmony with the remainder of his other facial features. He underwent rib reconstruction through a minimally invasive 1.2 cm incision, due to an absence of septal cartilage.
He is currently 3 weeks out and still has mild swelling but still looks great! He should continue to heal well and look good!