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This wonderful patient of mine had a neck lift 2 months ago. She came in seeking better contouring of her neck and jawline. She initially sought consultation for neck liposuction. However, careful evaluation and discussions with the patient allowed us to choose a more appropriate course of treatment- a neck lift! Sometimes patients may not understand their own anatomy, which is why I enjoy mapping out their conditions and treatment options from an anatomical perspective.

Liposuction will only address the layer of fat that sits beneath the skin above the muscle. If you look at her before photos, you will see she does not actually have a “fatty” neck. Instead, she has a sagging in her muscles that are causing an obtuse angle (red arrows). By tightening those muscles up, and bringing them higher up, it improves the contour of the neck. A great adjuvant surgery would be a lower face lift to also enhance the jawline contour. However, she decided to go with the neck lift, and still had a fantastic result!

Fortunate to share this wonderful patient’s transformation photos after a rhinoplasty 3 months ago!

This woman in her 20s needed a revision rhinoplasty and also had her deviated septum fixed.

This woman in her 20s needed a revision rhinoplasty and also had her deviated septum fixed.

Happy to share photos of a young man after revision rhinoplasty! This patient had a saddle nose deformity after a prior procedure. What looks like a “hump” or a “bump” is actually a loss in bridge height from sagging or “saddling” of the nose. This happens when key structural components are lost, like the septum. The septum is a central pillar in the nose that is responsible for bridge height and tip position. This young gentleman needed reconstruction of his septum with rib graft.

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.

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.

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!

Before and after on the table photo of primary rhinoplasty of a wonderful young woman in her 20s. She was looking for small changes to enhance her overall aesthetic.

Before and after photo of rhinoplasty on the table photo. This young woman wanted a small change in rotation and dorsal height. She was an ideal candidate for a closed rhinoplasty approach.

Immediate before and after of a primary rhinoplasty.