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

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.

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.

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.

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.

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.

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!

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

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.

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!