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Rhinoplasty & Female Rhinoplasty

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Very excited to share before and after rhinoplasty photos. This wonderful Park Avenue patient sought changes for aesthetic and functional reasons. 3 months ago she underwent a primary rhinoplasty. She underwent slight changes to the contour of her nose, tip rotation, and projection. Her nose was made straighter also allowing her to breathe better!

Rhinoplasty & Male Rhinoplasty

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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!

Rhinoplasty & Female Rhinoplasty & Septal Perforation

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Very rewarding case of a revision rhinoplasty 6 month post operatively. This wonderful woman had a prior surgery that left her with a pollybeak deformity and nasal septal perforation.

Pollybeak deformity refers to excess tissue over the “supratip” area (region over the bridge of the nose right before the nasal tip). It’s name is derived from the beak-like shape of the nose. This usually occurs from prior rhinoplasty surgery, and can happen when dorsal humps are aggressively taken down without accounting for skin redraping. Patients subsequently develop excess scar tissue underneath the skin that gives the characteristic appearance. Other causes include inadequate dorsal hump reduction, as well as failed corrective surgery of a “tension” tip deformity.

She elected to undergo revision rhinoplasty with her own rib for aesthetic and functional purposes. The prior surgery also had left her with a large hole in her septum, for which she also underwent flap reconstruction for closure.

Female Ethnic Revision Rhinoplasty Before and After

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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.

Male Deviated Septum / Rhinoplasty Before and After

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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!

Revision Rhinoplasty Before and After

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This is a 41-year-old female who presented 1 year after rhinoplasty with complaints of 100% nasal blockage and unnaturally appearing nose.

Left Photographs: This photo shows her at presentation to Dr. Mourad’s office 1 year after her initial surgery. The black arrows show that she had an excessive amount of her nose removed externally, causing significant scarring and contracture. This scarring narrowed her nostrils and contributed to her inability to breathe. The blue arrows show that her nose has incomplete breaks in her nasal bones causing nasal valve collapse, further making her breathing worse. In the lower picture, the purple curved arrow also shows that she has a “droopy” tip that hangs low. The deformity is also from excessive resection of the internal structures of the nose. The blue star in the photo on the profile view also shows that the previous surgeon had left a bony hump, that also was made to appear worse by the droopy tip.

Right Photographs: This is a patient 1 year after surgery once the final healing has settled in. The purpose of the surgery was to restore her ability to breathe. The patient underwent a complete nasal reconstruction using her own rib. The orange arrow shows that her nasal tip was restored to a more natural, “higher”, position, no longer with a deforming “droopy” look. Her nasal tip has smoother contour. Her ability to breathe has been completely restored with improvement in her nasal valve structures.