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Dr. Epstein: Hi it's Dr. Epstein, I'm with a patient who had a rhinoplasty done a year ago. We did quite a bit of work on her, she had some of the typical features. We see a very wide tip, underdeveloped cartilages, wide nasal bridge. Anyway, she's here now. We did a little revision on her not too long ago to bring her nostrils in further. But you can see what we were able to create for her, a much more defined, well defined tip, narrowed her nostrils, reset her bridge so everything has been brought in. She's happy.

But let me show what we did on profile. This was a real challenge, she had very underdeveloped, under-projected profile due to lack of development of her nasal bones, which is pretty classic. I built her up quite a bit. Actually this I did around five millimeters of building up with what's called Gore-Tex. Gore-Tex is a wonderful fabric I use it for certain rhinoplasties and basically was able to ... the tip is her own cartilage, a combination of taking some of the septal cartilage from inside to build the tip up so it's nice and strong. But also you can see for example when she smiles her tip doesn't drop nearly as much as it used to. But we built up this whole area with Gore-Tex, which is permanent, she can't feel it, it feels just like her old bones, and that was able to build up the profile. Anyway, she's happy, and she's healed up beautifully.

African American Revision Rhinoplasty Recovery

Dr. Jeffrey Epstein introduces a patient who had undergone a previous rhinoplasty but was still unhappy with her results. For the revision procedure, he corrected her wide tip, wide nostrils, wide nasal bridge, and underdeveloped bridge profile.

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