BEFORE/AFTER GALLERY

Marathon runner 1 year post op – complex revision rhinoplasty using own rib graft

This patient had a broken nose and a deviated septum which was corrected and reshaped to restore proper function and cosmetic balance.

This patient had a severe saddle nose deformity. Her entire nose was rebuilt internally using a rib graft.

This patient had a primary rhinoplasty surgery tailored to enhance her natural contours and balance facial features.

Rhinoplasty of one amazing patient that wanted to reduce the overall fullness in her nasal tip.

On the table view of an ethnic rhinoplasty of one amazing patient that wanted to reduce the overall fullness in her nasal tip.

Female 20s

Male in his 30s

Female Rhinoplasty

Male 30s

Primary Rhinoplasty

Broken Nose
Deviated Septum
Nasal Valve Collapse

Female 30s

Revision Rhinoplasty

Nasal Valve Collapse

Septoplasty

Broken Nose

Female 20s

Primary Rhinoplasty

Broken Nose

Septoplasty

Nasal Valve Collapse

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

Very excited to show my beautiful patient’s photos! This young woman underwent a rhinoplasty for both functional and aesthetic purposes. Her nose was weakened by prior trauma, and you can see that in her before photos, her tip “dives” down. This is because of minimal support in the tip structures. She underwent a rhinoplasty with rib graft. Rib graft is sometimes used in primary rhinoplasty cases about 1-2% of the time, and is usually in complicated cases (as above), when extra structural materials are needed to rebuild a stronger, better looking, and better functioning nose! I speak with all my patients about the potential need for rib, even in primary cases. It’s important that your surgeon feels comfortable using rib should the need arise.

My favorite part of this case is that her nose appears natural, like the “nose she should have been born with “, as her own mother would say! It is elegant, natural, and in no way compromises her identity.

This wonderful woman underwent a reconstructive and aesthetic rhinoplasty with me. She had a prior septoplasty elsewhere that failed to correct her breathing problems, and also led to a deformity. The prior surgery resulted in an over aggressive removal of the “caudal” (lowest) part of the septum. As a result, her nose had a tip collapse that accentuated a dorsal hump. She needed a rib graft to correct the deformity. It’s not just about having a good looking nose, but one that works well too. Fixing the breathing issues also improved her nasal aesthetic.

This wonderful patient of mine underwent a primary rhinoplasty for both breathing and cosmetic purposes. She is almost 1 year out and doing great! Special thanks to her for allowing us to share in her journey!

Happy to share one of my patient’s before/after selfies! She underwent a primary closed rhinoplasty, as well as septoplasty for breathing issues! She looks wonderful! Special thanks to her for sharing her journey with us!

Excited to share an on the table result for one of my wonderful and most favorite patients! She had a bad nasal fracture and nasal septal deviation!

Immediate on the table after a rhinoplasty in a beautiful young woman that wanted a refined tip and reduced dorsal hump. She also had a deviated septum, and broken nose from very early childhood trauma.

Immediate on the table after a rhinoplasty in a lovely young woman in her 20s! She also had a deviated septum, and broken nose from very early childhood trauma.

Another fun week of operating! Very fortunate and blessed to take care of such a wonderful young woman that underwent rhinoplasty for aesthetic and functional purposes.

Immediate on the table result of open rhinoplasty. This patient was looking for an enhanced aesthetic including more refined bridge, and tip elevation.

This wonderful woman underwent a primary rhinoplasty.

No description was given.

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!

Fortunate to share this wonderful patient’s transformation photos after a rhinoplasty 3 months ago!

This woman in her 20s needed a revision rhinoplasty and also had her deviated septum fixed.

This woman in her 20s needed a revision rhinoplasty and also had her deviated septum fixed.

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.

Your nose is your best feature and it deserves the utmost care. At our office, we will make sure to get you back to looking your best in a natural and beautiful way!

Immediate on the table result of an open rhinoplasty. This is a young 20 year old woman that was looking for an enhanced aesthetic including more refined bridge, and tip elevation.

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.

This handsome young man in his 20s was looking for a more defined shape to his nose. He is only 2 months post op. The best compliment a surgeon can get is when a patient’s friends/family can’t even tell that someone had a procedure done. It means that the result is natural to the point that it looks (and feels) like it’s the nose they should have been born with. I feel so blessed to be entrusted by my patients. He still swelling that will subside over the coming months.

Immediate on the table result of #beforeandafter of a primary rhinoplasty. This wonderful, 22 year old woman, wanted to refine her trip. She had nasal breathing surgery at the same time, to correct her nasal septum and nasal valve repair.

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

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.

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. 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.

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!

This is a wonderful young woman that had a primary rhinoplasty. She had both breathing and cosmetic complaints. She now has a more enhanced aesthetic that compliments her facial features. She is thrilled and so are we!

Three Months Post-Op:

I am thrilled to see one of my favorite patients in the office today! These are her before and after photos 3 months after her primary rhinoplasty. This is a very early result, but the subtle changes of improved tip rotation, and reduced dorsal height enhance her natural aesthetic! She has mild swelling that will continue to subside.

One Year Post-Op:

One year after her Primary Rhinoplasty. She healed wonderfully, and looks amazing! Im thrilled to see her so happy, with a natural aesthetic!

Immediate before and after of a primary rhinoplasty.

Before and after photo of rhinoplasty on the table photo. This young woman wanted a small change in rotation and dorsal height. She was an ideal candidate for a closed rhinoplasty approach.

Before and after on the table photo of primary rhinoplasty of a wonderful young woman in her 20s. She was looking for small changes to enhance her overall aesthetic.

Very excited to share before and after rhinoplasty photos. This wonderful Park Avenue patient sought changes for aesthetic and functional reasons. 3 months ago she underwent a primary rhinoplasty. She underwent slight changes to the contour of her nose, tip rotation, and projection. Her nose was made straighter also allowing her to breathe better!

Before and after photo of revision rhinoplasty with patient’s own rib. Patient had 2 prior surgeries that left him unable to breathe. His septum was collapsed in the front, replaced by scar, and deviated causing obstruction. He underwent an open structure septo-rhinoplasty for reconstruction. He now looks better and breathes better!

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.

On the table before and after of a female rhinoplasty.

On the table male rhinoplasty for ethnic rhinoplasty. Dorsal augmentation, tip refinement, and added structure for breathing and enhanced aesthetics.

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.

Excited to share before and after on the table photos of a complex revision rhinoplasty. The patient had a prior rhinoplasty with placement of a synthetic graft more than 10 years ago. She wanted a more enhanced, balanced aesthetic, without the use of synthetics. See the synthetic removed as well as the rib graft that was used to re-contour the nose. With the use of rib grafting material, we were able to achieve a better result that is natural and long lasting. I feel so blessed to be entrusted by my wonderful patients.

Excited to share before and after photos of a female facelift. This wonderful 63-year-old patient came in wanting a more youthful, rested, and refreshed look. She underwent a deep plane facelift and neck lift. This procedure reduces neck webbing, or “turkey gobbler” neck. It also reduces the deep lines (nasolabial grooves) around the mouth. She’s thrilled with her results, and feel blessed to be trusted with her care.

Happy to share before and after photos of a closed rhinoplasty. This young patient sought slight changes to enhance the aesthetics of her face. She underwent a closed rhinoplasty (without external incisions). She now looks great and can breathe wonderfully!

Excited to share rhinoplasty photos. VERY EARLY RESULT! This wonderful patient sought changes for aesthetic and functional reasons. She is only 6 weeks out, but her changes are already very evident. She still has a moderate amount of tip swelling that will continue to decrease over the coming months. But overall, the changes to her nose balance her facial features and aesthetics.

Excited to share this before and after open rhinoplasty photos. This wonderful patient sought changes for aesthetic and functional reasons. She is only 6 weeks out, but I was very excited to share this early and wonderful result. Small changes seen here enhanced the overall balance of her face, while also allowing her to breathe better.

Excited to share this before and after on the table photos after rhinoplasty. This wonderful patient sought changes for aesthetic and functional reasons. You can see her immediate on the table results here. Small changes seen here enhanced the overall balance of her face, while also allowing her to breathe better.

I always enjoy Fridays when I get to see my patients! This is a before and after photo of rhinoplasty of a wonderful young woman in her 20s. She underwent primary rhinoplasty for both cosmetic and breathing related issues. My favorite thing about her result is that the nose was not “overdone”, following the natural aesthetic of the nose she was born with, but slightly more refined.

Anecdotally, she was out and someone told her, “I love your nose”. She said, “Thanks! I paid for it!”.

Excited to share on the table photos after rhinoplasty. This wonderful park avenue sought changes for aesthetic and functional reasons. You can see her immediate on the table results here.

This patient came to me for aesthetic and functional reasons.

This wonderful patient underwent primary rhinoplasty after sustaining a severe trauma! She’s only 6 weeks out in these before and after rhinoplasty photos, but looks so great already!

If you or someone you know is interested in a rhinoplasty or other cosmetic procedures contact our offices for a consultation.

On the table results of a rhinoplasty. A wonderful young girl that wanted more tip definition and lowering of her bridge!

On the table view of an ethnic rhinoplasty of one amazing patient that wanted to reduce the overall fullness in her nasal tip.

Just a wonderful young woman who had severe tip asymmetry looking for balance.

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.

Excited to share before/after photos of a sliding genioplasty! This patient had microgenia, referring to a small chin. Common options for this surgery are:

Chin Implant
Sliding Genioplasty.
This patient underwent a sliding genioplasty, where the chin bone was actually advanced. It is a natural solution with the best long term results. Benefits of implants on the other hand include less down time, and reduced operative time. I am very happy to be able provide both options to my patients.

UPDATE:
Happy to post a 5-month post-op of one of my most wonderful patients! He underwent male rhinoplasty and sliding genioplasty for chin augmentation. These two procedures complement each other nicely to balance out the nose. Still a mild amount of swelling that should come down over the next 6 months.

Very excited to share photos of my patient. It’s hard to believe he is only 4 weeks out and looks so good! He had severe tip asymmetry, with inability to breathing, requiring overall reconstruction with rib. He had narrowing of his nostrils, in addition to being too projected (long nose). The key was to de-project him, but not by a lot, since he has a strong facial skeleton, so as to keep the overall harmony and balance of the face.

Wonderful patient undergoing male rhinoplasty for breathing and aesthetic concerns. 6 week post op. Swelling will continue to subside.

After a long week it was great to see one of my post ops in the office. This is a wonderful patient of mine that underwent rhinoplasty for both cosmetic and functional related issues. My favorite part is she couldn’t stop smiling in her before as well as her after photos. It’s amazing to take care of such pleasant and wonderful patients. She’s 3 months post op here with some mild swelling that should continue to improve over the coming months.

Excited to share on the table photos after a revision rhinoplasty. This wonderful patient had prior rhinoplasty with poor healing, and inability to breathe. You can see her immediate on the table results here. Her own rib was used through a small 1.5 cm minimally invasive incision.

Excited to share this before and after on the table photos after revision rhinoplasty. This wonderful Park Avenue patient had prior rhinoplasty with poor healing, and inability to breathe. You can see her immediate on the table results here.

Very excited to share on the table before and after photos of one of my wonderful Park Avenue patients!

After a long week, it was great to see one of my post-op patients in the office. This wonderful patient of mine had a rhinoplasty for both breathing and cosmetic issues. She had a reduction of her dorsal hump and refinement of her nasal tip, providing her with a more balanced nasal aesthetic.

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!

Excited to share before and after photos after reconstructive plastic surgery. This wonderful Park Avenue patient had three prior rhinoplasties that left him scarred and unable to breathe properly. This is what is called a “tertiary” rhinoplasty, and is very challenging from a surgical perspective. Each surgery he underwent increased the amount of scar in the nose, and reduced the available blood flow and vascularity. Adding to the difficulties is that his prior rhinoplasty surgeries were “reductive”, meaning that the original surgeons had removed critical portions of the nose, leaving the nose weakened and non-functional over time, causing significant collapse. I was fortunate to be entrusted with his fourth (and hopefully final!) revision rhinoplasty using his own rib to reconstruct the critical portions of his nose. He is 9 weeks postoperative in this photo, with some residual swelling, but is breathing again for the first time in years, and looking great!

Very excited to share before and after on the table photo of a wonderful Park Avenue patient that underwent an open rhinoplasty. She didn’t like her dorsal hump and her wide bulbous tip. Additionally, she had breathing difficulties from a deviated septum and nasal fracture. So blessed to be trusted with the care of these patients.

After undergoing double jaw reconstructive surgery and dealing with a 2-year recovery-alongside its permanent consequences-I had noticed an overall change in my nose. Specifically, the base had widened and my tip had begun to severely droop when smiling. Due to my past, I was extremely hesitant to pursue surgery again but have ultimately decided to follow through with it due to my deviated septum.

Over the course of 3 months, I shopped around for a surgeon and had a dozen consultations. Dr. Mourad was the ONLY doctor who took the time to hear my concerns and walk me through the entire process; Whether I had one or 20 questions, he would always respond to my calls/text before and after the operation to ensure I’m both comfortable and excited. As implied, he was the last physician I spoke with.

I asked for a natural result and I got just that in return. The recovery was much easier than I expected and I was up and about only a week after surgery. I cannot stress enough how natural my nose looks and how beautiful my profile is – it’s the best when people ask you if you lost weight and tell you that you look radiant only 2 weeks post-op.

If anyone reading this is hesitant to find a doctor or is worried about their nose appearance post-op… don’t be. Dr. Mourad is genuinely a great physician and, most importantly, a person. He’s a professional who loves his job, and his genuine passion is exemplified in his approach from start to finish.

I am forever grateful to him for restoring both my confidence and breathing.

Unfortunately, I’m not given the option to upload my before and after pics here; His insta page (@nycfacedoc) showcases all of his artwork.

If you’re set on undergoing rhinoplasty, good luck, and congratulations!

Thrilled to share these before and after photos of a wonderful patient of mine. It’s always a little extra pressure when you operate on someone you work with, but also an honor and a privilege to be entrusted with their care. She had an open rhinoplasty 8 months ago. She has mild tip swelling that should subside over the coming months, with de-rotation of her tip. Special thanks to her for allowing us to share in her journey!

Thrilled to show before/after photos of my Park Avenue patient. This is a wonderful patient that underwent an endoscopic browlift. This is a minimally invasive procedure that uses small incisions in the scalp to restore balance and symmetry to the face. This can be done for both cosmetic and reconstructive purposes. This patient was left with a paralyzed right eye brow after a previous surgery by another physician. The goal was to restore the balance and aesthetic of his eye brow position.

This is a wonderful Park Ave patient of mine who came in unsatisfied with his outcome after surgery with another area surgeon. I was able to perform a revision rhinoplasty using the patient’s own rib. Through a 1.2 cm minimally invasive access incision, I was able to obtain the graft that was used to reconstruct the internal portions of the nose. His problem areas were a droopy tip, poor tip definition, dorsal hump, and a nonfunctioning nose.

Very excited to show this before/after on the table photo of a wonderful young lady that underwent an open rhinoplasty. Small tip changes that improve rotation and definition, in addition to changes to the nasal dorsum can greatly improve nasal aesthetics.

Thrilled to share before and after male facelift! This wonderful Park Ave patient came in wanting to look more refreshed and youthful without an operated look. He is seen here only 2 months postoperatively after a facelift and necklift.

Before and after photographs of a wonderful patient who wanted a rhinoplasty. She was bothered by her hump and nasal tip which was all addressed in this intraoperative photo of an open rhinoplasty.

Happy to share these before and after rhinoplasty photos of my wonderful and lovely park ave patient. She had breathing and aesthetic concerns that were addressed with a closed rhinoplasty. This type of surgery involves no visible scars or incisions. Its a small detail, but makes a big difference! I feel fortunate to be trusted with my patient’s faces and their physical well being.

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.

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.

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.

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.

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.

The patient presented with complaints of “looking tired”. She underwent upper eyelid surgery to give her a rejuvenated and refreshed look.

She was given a more youthful and refreshed look with youthful eyes.

Before and after of a young female that had an ethnic rhinoplasty. It is important to recognize inherent differences between people based on region of origin as this impacts the internal structures of the nose. A rhinoplasty should not be one size fits all. You should communicate with your physician your desired aesthetic goals. Many patients want to maintain their identity with slight enhancements. It is important to find a surgeon that understands these differences and can offer you the best possible care.

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.

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.

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!

Intra op photo of a closed rhinoplasty. This rhinoplasty techniques uses no visible incisions, minimizes post operative pain and swelling, and reduces recovery time- so you can get back to life sooner and breathing better!

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!

This young female patient that had a revision rhinoplasty with Dr. Mourad using her own rib. She came in 9 years after a primary rhinoplasty with another surgeon in New York City. She complained about her nose looking “deformed and unnatural”. The photo on the left shows her before photo. As you can see, she has asymmetry of her nasal tip. A functional and cosmetic surgeon Dr. Mourad looks at the “tip defining points”. These can best be appreciated by the reflective white light points at the tip. In her photo on the left, you can see that the patient’s right light point is higher then her left point. This was because her nose was twisted, with malformation and poor positioning of her cartilages.

Many years ago, when she had her original surgery, they removed cartilage that caused asymmetrical scarring and positioning of the cartilages as the years wore on. Over time, her nose began to droop looking unnatural. In her after photo on the right, you can see that her tip points are symmetric, with symmetric casting of light and shadows. Using her rib through a minimally invasive approach and access through a 1.2 cm incision, Dr. Mourad was able to recreate the natural contours of the nose. This photo is only 1 month after surgery, with still some swelling that should come down with time.

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.

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.

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.