A 26 year old woman underwent open rhinoplasty with narrowing of the dorsum, hump reduction, graft for tip support, rotation and reduction of the tip. This patient also had submental liposuction for improvement in the contour of the neck.
25 year old who underwent open rhinoplasty to remove the dorsal hump, and placement of tip sutures as well as placement of columellar strut graft. She also under went submental(under the neck) liposuction.
17 year old underwent open rhinoplasty with narrowing of the dorsum, dorsal hump reduction, narrowing and rotating the tip and graft placement. Chin augmentation was also recommended but not performed.
39 year old who desired improvement in her nasal shape. She had been wanting to undergo a rhinoplasty surgery for a very long time and felt that it was time to have the procedure done. She was unhappy with the large bump as well as the drooping of her nasal tip. She underwent open rhinoplasty. Dorsal hump reduction was performed by shaving part of the nasal bone as well as the cartilage. She also has suturing of the lower cartilages to help with nasal tip projection as well as cephalic trim and nasal tip rotation to help provide an aesthetically appealing nose.
24 year old who had complaints of nasal airway obstruction secondary to deviation of the septum as well as a very narrow internal nasal valve. She underwent open rhinoseptoplasty, with removal of part of the septum to be used as grafts. She had placement of bilateral spreader grafts to widen the internal nasal valve as well as bilateral submucous resection of the inferior turbinates.
34 year old who wanted improvement in her nasal contour. She felt that her nose was just too big for her face. She had complaints that her nose looked too long. She wanted removal of the dorsal hump as well as shortening of the nose. She underwent open rhinoplasty which provided access to her nasal bone and cartilage. She had removal of the dorsal hump, which required shaving of the bone and cartilage. She also underwent shortening of the nasal tip as well as rotation of the nasal tip to provide a more balanced nose for her face.
30 year old who had nasal airway obstruction secondary to deviated nasal septum as well as hypertrophy of the nasal turbinates. She also wanted improvement in the nasal shape. She underwent septoplasty to help with the nasal obstruction as well as submucous resection of bilateral inferior turbinates. There was placement of bilateral spreader grafts, reduction of nasal hump as well as slight rotation of the nasal tip.
35 year old who was solely unhappy with the drooping nasal tip. He wanted improvement in the nasal tip only. He underwent open rhinoplasty with extensive tip suturing. There was also harvest of septal graft to be used for support of the nasal tip. There was placement of columellar strut graft as well has nasal tip grafts to provide a better projecting and rotated nasal tip.
43 year old unhappy with the shape of her nose. She desired a more defined shape to her nose. On exam it was found that the tip support was poor. She therefore underwent open rhinoplasty with osteotomies performed to slightly narrow the bony part of the nose. The tip was addressed by performing a cephalic trim and tip suturing. Further projection was obtained by placing a columella strut graft. A more defined nasal contour was obtained with better tip projection and tip support.
18 year old who had multiple nasal fractures throughout his life. He had breathing difficulty through both nostrils. On exam he had a significantly deviated nasal septum with bilateral airway obstruction secondary to the septum as well as the inferior turbinate. He underwent a septoplasty to help straighten the septum. The nasal bones were also deviated, therefore osteotomies were performed to help the alignment. Bilateral spreader grafts were placed to straighten and also strengthen the septum. Bilateral submucus resection of the inferior turbinates were done to help open the nasal airway.
24 year old who desired improvement in the nasal countour. She was concerned with having a nose that was over done. She was unhappy with the dorsal hump and she also thought that her nasal tip was too big and wide. She was also unhappy with the drooping of the tip. She underwent open rhinoplasty with inverted “V” incision on the columella. She had reduction of the dorsal hump which required rasping of the bone as well as shaping of the cartilage. She also had a cephalic trim as well as tip suturing to narrow the nasal tip and rotate the tip upward slightly.
43 year old with a history of multiple nasal fractures with difficulty breathing through both nostrils. He had significant nasal deformity with a severely deviated nasal septum as well as weak upper lateral cartilages. He underwent open rhinoplasty with septoplasty as well as bilateral spreader grafts and reduction of the inferior turbinates bilaterally.
41 year old who had complaints of nasal airway obstruction and desired improvement in his nasal contour. Patient underwent rhinoseptoplasty with submucous resection of the part of the septum causing the obstruction. Given the week upper lateral cartilages, he underwent placement of bilateral spreader grafts. He also had submucous resection of the inferior turbinates to help with the airway obstruction. As far as the nasal contour, a dorsal hump reduction was performed thru an open rhinoplasty with shaving of the nasal bone and cartilage as well has reshaping of the nasal tip.
16 year old who had a history of nasal fracture at a young age. She wanted a more balanced look to her face and felt that her nose was too big for her face. She was unhappy with the wide tip and the nasal bump. With parental consent, she underwent open rhinoplasty with inverted “V” incision on the columella. She had osteotomy performed of the nasal bone as well as shaving of the bones to help narrow the nose as well has remove the dorsal hump. She also had reshaping of the nasal tip with tip suturing to help narrow the boxy tip as well as rotate the tip.