Thrilled to share #beforeandafter photos of a wonderful young patient who underwent rhinoplasty for both breathing and cosmetic purposes. She had a nasal fracture in her nose that left her unhappy about her appearance and unable to breathe.
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.
1 month before and after pictures 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 1 month out and still has some swelling that will only continue to improve!
Do you ever feel like your nose is weak and collapsing? Like you have an inability to pass air? The nasal cartilages and bones can weaken over time, collapsing, causing feelings of congestion and inability to breathe. Sometimes the collapse is so severe it is present at baseline. This can be detrimental to your overall health and well being.
The patient pictured here couldn’t breathe because of collapse of his right nostril. Through an ethnic rhinoplasty this patient’s crooked nose and breathing could be fixed without any external incisions, minimizing pain and post operative swelling.
The patient is a 16-year-old female patient presented to Dr. Mourad for concerns with nasal breathing obstruction. She also complained of the appearance of her nose. The photo on the left demonstrates her preoperative view. She stated she did not like that her “tip was so big”, in addition to complaining of her tip “drooping.” The evaluation revealed the patient to have a bulbous tip. Dr. Mourad met with the girl and her family many times to help understand her complaints and understand her and her families expectations. After careful discussions with the family, she decided to undergo a closed rhinoplasty. This minimally invasive rhinoplasty, allowed for the patient to undergo the necessary modifications that maximized her outcome without compromising her future development. The photo on the right demonstrates a more refined and narrower tip, that is straight, without the “bulbous appearance” seen in the left photo. Her tip is also at a higher position, more elevated, and less droopy then seen in the preoperative photo. Her breathing is also improved after Dr. Mourad corrected her nasal airway obstruction internally.
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.
The above case demonstrates a 45-year-old woman that came to see Dr. Mourad who developed a hole in her septum secondary to cocaine use. The photo on the left is a photo into the left nostril that demonstrates the 1.2 cm perforation which is located in the front portion of the septum. Her symptoms included noisy breathing, frequent nasal crusting, and bleeding. She also suffered from frequent sinus infections. The picture on the right demonstrates an intraoperative view of the repaired perforation, immediately after the repair. This perforation was repaired using a left-sided local flap (link to local flap). The technique used was an Anterior Ethmoid Artery Pedicled Flap. This technique uses rearrangement of tissue within the nasal cavity to close the hole in the septum. She has mild swelling in the area that will resolve with time.