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Rhinoplasty – Before and After

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Very excited to share before/after photos of a wonderful patient. This is a young gentleman that had prior nasal surgery and was left with a saddle nose deformity. This is a great case because it highlights the importance of close evaluation and communication with the patient. What many people see as a “hump” on the nose, is actually the nose “sagging” in some parts. Rather than “removing/shaving the hump”, you get a better aesthetic and functional result by building up the sagging parts of the nose, to give a masculine, straight, nasal dorsum. This patient required rib reconstruction.

Before and After Sliding Genioplasty

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Excited to share before/after photos of a sliding genioplasty! This patient had microgenia, referring to a small chin. Common options for this surgery are:

Chin Implant
Sliding Genioplasty.
This patient underwent a sliding genioplasty, where the chin bone was actually advanced. It is a natural solution with the best long term results. Benefits of implants on the other hand include less down time, and reduced operative time. I am very happy to be able provide both options to my patients.

UPDATE:
Happy to post a 5-month post-op of one of my most wonderful patients! He underwent male rhinoplasty and sliding genioplasty for chin augmentation. These two procedures complement each other nicely to balance out the nose. Still a mild amount of swelling that should come down over the next 6 months.

Rhinoplasty and Otoplasty

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Very excited to share photos of my patient. It’s hard to believe he is only 4 weeks out and looks so good! He had severe tip asymmetry, with inability to breathing, requiring overall reconstruction with rib. He had narrowing of his nostrils, in addition to being too projected (long nose). The key was to de-project him, but not by a lot, since he has a strong facial skeleton, so as to keep the overall harmony and balance of the face.

Male Revision Rhinoplasty Before and After

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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!

Male Brow Lift Before and After

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Thrilled to show before/after photos of my Park Avenue patient. This is a wonderful patient that underwent an endoscopic browlift. This is a minimally invasive procedure that uses small incisions in the scalp to restore balance and symmetry to the face. This can be done for both cosmetic and reconstructive purposes. This patient was left with a paralyzed right eye brow after a previous surgery by another physician. The goal was to restore the balance and aesthetic of his eye brow position.

Male Revision Rhinoplasty Before and After

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This is a wonderful Park Ave patient of mine who came in unsatisfied with his outcome after surgery with another area surgeon. I was able to perform a revision rhinoplasty using the patient’s own rib. Through a 1.2 cm minimally invasive access incision, I was able to obtain the graft that was used to reconstruct the internal portions of the nose. His problem areas were a droopy tip, poor tip definition, dorsal hump, and a nonfunctioning nose.