Before and After Saddle Nose Surgery
This patient had a severe saddle nose deformity. Her entire nose was rebuilt internally using a rib graft.
Saddle Nose Deformity
Saddle Nose Deformity
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.
Rhinoplasty & Male Rhinoplasty & Ethnic Rhinoplasty
Before and after photo of a rhinoplasty 3 months post op (very early result!). This handsome young man couldn’t breathe secondary to a traumatic deformity. He required rib reconstruction of the nose to restore his nasal anatomy, getting him breathing better, and looking great!
Before and After Male Rhinoplasy
Happy to share before and after photos of male rhinoplasty. The patient had a nasal fracture, deviated nasal septum, and nasal saddling. Saddling refers to collapse of the bridge. He underwent rib reconstruction to improve his breathing and aesthtetic.
Rhinoplasty – Before and After
Very excited to share before/after photos of a wonderful patient. This is a young gentleman that had prior nasal surgery and was left with a saddle nose deformity. This is a great case because it highlights the importance of close evaluation and communication with the patient. What many people see as a “hump” on the nose, is actually the nose “sagging” in some parts. Rather than “removing/shaving the hump”, you get a better aesthetic and functional result by building up the sagging parts of the nose, to give a masculine, straight, nasal dorsum. This patient required rib reconstruction.
Female Rhinoplasty Before and After
Very excited to share before and after photos of one of my most delightful Park Avenue patients. This wonderful patient underwent an open rhinoplasty for both aesthetic and functional purposes. She is only 3 months in this series, and still has some swelling that will subside in the coming months. What I love most about this picture, is that her new nose fits her facial structure so well and naturally!
Female Ethnic Revision Rhinoplasty Before and After
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.