Special thanks to our wonderful patient for sharing her experience with us after her rhinoplasty (for both breathing and aesthetic purposes).

Female 20s

Primary Rhinoplasty

Broken Nose

Septoplasty

Nasal Valve Collapse

Female 30s

Revision Rhinoplasty

Nasal Valve Collapse

Septoplasty

Broken Nose

Male 30s

Primary Rhinoplasty

Broken Nose
Deviated Septum
Nasal Valve Collapse

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.

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!

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.

Immediate on the table result of before and after of a primary rhinoplasty in a thick skin patient.

The patient also had a septal perforation repair done at the same time. She had a rounded and bulbous tip cartilage that she requested to have more refined.

Immediate on the table result of before and after of a primary rhinoplasty. This wonderful, 20 year old woman, wanted to refine her trip. She had a little nasal droop, and small dorsal hump. Small changes do go a long way!

Immediate on the table result of before and after of a primary rhinoplasty for breathing and aesthetic related issues. Small changes were made to the bridge height and tip position.

Patient underwent a neck lift to achieve a more youthful look.