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!
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.
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.
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.
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.
This is a lovely patient of mine that underwent upper eyelid surgery with me 4 months ago. One of the most common complaints that I get is that patients often look “tired”. They also complain that it is difficult to apply makeup, and they have to “lift up” their skin to get the makeup just right. This can be related to excessive upper eyelid skin drooping downwards secondary to the effects of aging and gravity. Surgery involves removing portions of excess skin, in addition to fat and muscle (if necessary). Surgery is designed to “restore” the upper eyelid crease as seen in this patient. Excessive resection can lead to a hollowed appearance that may make patients actually look older than they are.
