Before and After Female Rhinoplasty
Fortunate to share this wonderful patient’s transformation photos after a rhinoplasty 3 months ago!
Septal Perforation
Rhinoplasty & Female Rhinoplasty
Immediate on the table result of before and after of a primary rhinoplasty. The patient also had a septal perforation repair done at the same time. Since she was missing the majority of her septum, she also underwent rib grafting to the nose.
Rhinoplasty & Female Rhinoplasty & Septal Perforation
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.
Revision Rhinoplasty Before and After
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.
Repaired Septal Perforation Before and After
This case demonstrates a 57-year-old woman that presented to Dr. Mourad after septal perforation secondary to a nasal surgery with a different surgeon many years before. Her complaints were nasal crusting, frequent infections, and bleeding. She attempted to use humidifying measures including ointments, humidified air, and nasal saline, which did not resolve her symptoms. The perforation is larger. The photo on the left demonstrates the 1.5 cm perforation as seen through the left nostril. Her repair required the use of a regional flap, using a right-sided Pedicled Inferior Turbinate Flap. The photo on the right demonstrates the immediate repair of the perforation intraoperatively.
Septal Perforation Repair Before and After
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.