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CLAIM YOUR PROFILEHi pd951, thanks for the question and the photo. The picture does look like a piece of cartilage pushing out from the columella. It is common in rhinoplasty to add cartilage to the columella in order to obtain better structure of the nasal tip. It could also be that, as your nose has aged, the cartilage has deviated over time and you are left with progressively more visible cartilage in the columella. Either way, a rhinoplasty is an option to address this. Hope this answer helps, good luck in your journey.
Board Certified Facial Plastic Surgeon
Thanks for the question and the pictures. Based on your pictures, it looks like you have lost some of the support in the bridge of your nose that is normally supported by cartilage. In order to resolve this issue, you will need a revision rhinoplasty and will require replacement of the structure of your nose. Hope this answer helps, good luck on your journey.
Board Certified Facial Plastic Surgeon
Hi Manthan. Great question. The time between rhinoplasty procedures is largely dependent on the extent of the recent surgery and the surgeon's preference. Generally, it is important to wait for the nose to heal for approximately 8-9 months before discussing the need for a revision because there can still be significant swelling that far out which is liable to change. Hope this helps and good luck in your journey.
Board Certified Facial Plastic Surgeon
Hi Beautyqueen2023,
Thanks for your question. Caudal septal issues are among the most challenging that a rhinoplasty surgeon has to deal with. The reason being that there are a variety of reasons someone might have problems with their caudal septum (eg. intrinsically weak cartilage, overgrown cartilage, prior surgery resulting in distortion of the caudal septum, etc.). This is the main reason that you see so many different potential treatment options regarding the caudal septum. In my practice, I employ a variety of techniques (eg. caudal septal replacement grafts, caudal septal splinting, caudal septal resection and reconstruction) depending on the needs of the patient. The most important thing is that your surgeon uses an appropriate technique based on your anatomy in order to achieve the functional and aesthetic outcomes that you are looking for.
Board Certified Facial Plastic Surgeon
Hi Optimistic361454,
Thanks for your question and posting those photos. In my opinion, the most important aspect of any rhinoplasty is your opinion as the patient.
The two most important things for you to consider are:
1) Are there any aesthetic issues that you have with your nose?
2) Do you have any difficulty breathing through your nose?
If so, then a rhinoplasty could be helpful for you. With that being said, your photos do demonstrate some findings that patients commonly ask to have changed via rhinoplasty.
Board Certified Facial Plastic Surgeon
Hi NuVantage,
Thanks for your question and photos. Your nasal tip is asymmetric with a midline cleft due to the size and positioning of your lower lateral cartilages. You would benefit from increasing the definition of your tip in order to make your tip symmetrical and make it align with the dorsum of your nose. This could be achieved via correction of the lower lateral cartilages (via sutures and reinforcing the current structure with your own cartilage) without changing the dorsum of your nose.
Board Certified Facial Plastic Surgeon
Hi Febro 23,
Thanks for your question. What you are describing is a really complex issue that requires a lot of pre-operative planning. I have extensive experience in revision rhinoplasty and have had experience dealing with issues similar to yours in the past. I am happy to say that I have been able to achieve durable improvement in patients in your situation before. In order to come up with an appropriate plan for you, I would require more information.
Board Certified Facial Plastic Surgeon
Hi Nee Nee 1,
Thanks for posting your question along with the photos. Based on what I see currently, I believe you would benefit from a revision rhinoplasty. This would have the benefit of improving the form and function of your nose while providing long-term structure that will last the rest of your life. It's my personal belief that in order for a rhinoplasty to be successful it must provide the patient with a durable, attractive, and well functioning nose. Feel free to reach out to me and my team to schedule a virtual consultation if you are interested in discussing things further.
Board Certified Facial Plastic Surgeon
Hi Melbourne87,
Thanks for your question. I personally avoid fillers in the nose because of their risks and lack of long-lasting improvement. Based on your pictures, I believe that you would benefit from a revision rhinoplasty. The benefit of this over filler would be the fact that a revision rhinoplasty would provide permanent structure to your nose and maintain the proper form and function of your nose.
Board Certified Facial Plastic Surgeon
Hi Kayla1236,
Thanks for your question. This is a really common question that patients come see me for on a regular basis. The most common cause of post-rhinoplasty nasal obstruction is that the nasal airway was not fully addressed during the initial surgery. This can be really frustrating for patients, since many patients never had any breathing problems to begin with. While it is difficult to say what you precisely would need to fix your nasal breathing - I do believe that it is possible to correct your nasal blockage. This would require a revision procedure where your nose is fixed from both an aesthetic (size and shape) and function (nasal breathing) perspective. I specialize in ensuring the best functional and aesthetic nose possible.
Board Certified Facial Plastic Surgeon
Truly an exceptional plastic surgeon and human being! I was in desperate need of a revision rhinoplasty surgery, internally my nasal passages were collapsing and I was finding it increasingly difficult to breath. Externally and physically my nose was collasping as well, visibly crooked and skin receding exposing my columella. I was not interested in taking a chance with other plastic surgeons. I needed the BEST in his field, someone who SPECIALIZES in not only the aesthetics but knew how to reconstruct and give internal support to my nose. When I found that he literally teaches other plastic surgeons around the world how to perform his advanced procedures, and when I consulted with 2 other highly respected Harvard educated plastic surgeons and THEY only recommend Dr. Toriumi as the leading expert in the field, my search was over. The process is slow (if you need reconstruction such as mine) and you must be dedicated to his follow up procedures. The first year you are only 30% recovered. I can tell you this man is dedicated to his craft and to his patients, I was in another state and could not make it back to Chicago. He just happen to be traveling through this particular state and was able to meet me for a follow up. He is surrounded by a truly dedicated and professional staff. Thank you to Pat, Bridget, Karen and Olivia for always being kind and for always making every effort to accommodate me. I highly reccomend Dr Toriumi for reconstructive rhinoplasty surgery.
I was born with mild binder syndrome.when I was 14 ‘doctor Toriumi was recommended from European facial surgery experts as the best facial /nose surgeon.After contacting his team and virtual consultation with doctor Toriumi , we were impressed by his approach,self confidence,kindness and expertise.Because of that we decided to travel to Chicago.The surgery was very complex and lasted more then 7 hours,it included rib cartilage transplantation to the tip of the nasal bone and nose deviation job.The surgical team vas very professional and informative.The recovery went smoothly thanks to the whole team,dr.Toriumi and dr.May.We spent 4 weeks in Chicago.8 months post op. I’m extremely happy with the results.I went back for revesion sirgery just to straighten my nose a bit more and it looks even better than before.If you really want to have a rhinoplasty I seriously recommend Dr. Toriumi,him and his team really exceeded all my expectations. Thank you dr. Toriumi.You have changed my life. Lucijana.
A nasal fracture decades ago left the bridge of my nose collapsed on one side. My breathing was affected as well. Despite wanting to have these issues fixed it took me a long time to connect with the right surgeon. I spoke with many doctors in NYC about my condition over the years and one of them flat out told me that he didn’t feel he could help me but knew who could absolutely do the work - Dr. Toriumi. It was hard for me to make the decision to have surgery in Chicago because of the distance from NY but everything about the surgery (rhinoplasty + septoplasty) worked out wonderfully. Dr. Toriumi was very confident that he could help me from our first conversation and he and his office maintain a very high level of professionalism; the care I received throughout the entire process was exceptional. Just over three months out I can breathe better than ever and my nasal bridge is no longer collapsed and quite honestly simply straight. I’d recommend Dr. Toriumi to anyone considering nasal surgery, especially fracture issues like mine.
After 3 long years (Feb 2019 - Mar 2021) of physical, emotional and financial set backs, all consequences of enduring 4 failed rhinoplasty revision surgeries with another surgeon in Los Angeles, I was left with a badly deformed and non-functioning nose. The bridge of my nose had fully collapsed for the 4th time, my nasal passages were completely obstructed and I had lost most of my columella due to the removal of necrotized tissue from the area during an emergency procedure (surgery #3). At that time, as I was about to learn from other LA surgeons whom I sought for second opinions, my case had become very complicated and it now required a surgeon with vast knowledge in the field of revision rhinoplasty and who also specialized in facial reconstruction involving skin grafting. Dr. Toriumi was referred to me by one of these second opinion surgeons I saw in Los Angeles. I initially felt very nervous about seeing a doctor all the way in Chicago and potentially taking the next phase of surgeries and treatments to another city, half way across the country, away from my home and family. But, I can honestly say it now that it was one of the best decisions I've ever made. Dr. Toriumi has done what seemed impossible. He has restored both, the functionality and the aesthetics of my nose in perfect harmony with my other facial features. From the making of a multi step treatment plan that best suited my needs to the timely and ongoing execution of it's every phase, I've felt heard, informed and very safe. I highly recommend Dr. Toriumi and his wonderful staff. Updated on 16 Apr 2024: After 3 long years (Feb 2019 - Mar 2021) of physical, emotional and financial set backs, all consequences of enduring 4 failed rhinoplasty revision surgeries with another surgeon in Los Angeles, I was left with a badly deformed and non-functioning nose. The bridge of my nose had fully collapsed for the 4th time, my nasal passages were completely obstructed and I had lost most of my columella due to the removal of necrotized tissue from the area during an emergency procedure (surgery #3). At that time, as I was about to learn from other LA surgeons whom I sought for second opinions, my case had become very complicated and it now required a surgeon with vast knowledge in the field of revision rhinoplasty and who also specialized in facial reconstruction involving skin grafting. Dr. Toriumi was referred to me by one of these second opinion surgeons I saw in Los Angeles. I initially felt very nervous about seeing a doctor all the way in Chicago and potentially taking the next phase of surgeries and treatments to another city, half way across the country, away from my home and family. But, I can honestly say it now that it was one of the best decisions I've ever made. Dr. Toriumi has done what seemed impossible - he restored both, the functionality and the aesthetics of my nose in a well balanced and harmonious way. From the very beginning as he put together a multi-step treatment plan that best suited my needs to the timely execution of it's every phase, Dr. Toriumi has exceeded all of my expectations, while keeping me feeling heard, informed, and safe along the way. He is truly a remarkable surgeon. I highly recommend Dr. Toriumi and his wonderful staff.
Dr. Toriumi is an exceptional physician who demonstrates unparalleled expertise and compassion in his field. From my personal experience, I found his professionalism and dedication to patient care to be outstanding. He possesses a deep understanding of facial plastic surgery and consistently delivers exceptional results. Dr. Toriumi's meticulous attention to detail and personalized approach instills confidence in his patients, making them feel valued and understood throughout their journey. His commitment to staying updated with the latest advancements in his field ensures that patients receive the highest quality of care possible. I highly recommend Dr. Toriumi to anyone seeking top-notch facial plastic surgery services.
After undergoing several unsuccessful rhinoplasty surgeries, I eventually sought the expertise of Dr. Toriumi. I am delighted to report that I am not only impressed by his surgical proficiency, but also by the excellence of his staff. Throughout my recovery process, Dr. Toriumi has been a constant presence, addressing all my inquiries with compassion, patience, and kindness. His genuine desire for my satisfaction with the final outcome is evident. Dr. Toriumi’s skill and dedication are so remarkable that I would even recommend traveling out of state to seek his services. Without reservation, I highly endorse Dr. Toriumi and his exceptional staff.
Excellent experience and results for both facial plastic surgeries (3) and in between maintenance to ensure results endure. Have gone to him over 20 years. Highly recommended. I've recommended him to others.
I have seen Dr. Toriumi over the past 20 years for multiple procedures: revision surgery, new surgery, injectables. With each procedure, I have never experienced any of the typical, lingering, second-guessing (and I’ve had poorly done surgeries followed by a whole lot of second-guessing!), because I always felt that no better result could ever have been achieved than what Dr. Toriumi accomplished for me. I knew that Dr. Toriumi’s unmatched knowledge and skill, along with his aesthetic sense of what would be best for me in particular, afforded me the best version of what I was seeking. I appreciate his directness and efficiency, as well as his patience in listening to my concerns. If he offers the service, I’d never go elsewhere. I hold him in my highest regard.
I underwent a complex revision rhinoplasty procedure performed by Dr. Toriumi, and I couldn't be more pleased with the results. Not only did Dr. Toriumi substantially improve my breathing, but he also addressed the complexities of my case with skill and confidence. I initially sought Dr. Toriumi's expertise after other surgeons had declined to take on my case. His reputation as the go-to revision rhinoplasty surgeon preceded him, and I was referred to him by another respected professional in the field. From the moment I met Dr. Toriumi, I felt reassured by his knowledge and willingness to tackle challenging cases like mine. Throughout my journey, Dr. Toriumi's team, including Pat, Bridget, Karen, and Olivia, provided exceptional support and care. They were always available to address my concerns, offer guidance, and provide encouragement during the healing process. Their warmth and professionalism made every visit a positive experience. I cannot recommend Dr. Toriumi and his team enough. Their expertise, compassion, and dedication to patient care set them apart. If you're seeking a skilled and respected plastic surgeon for your rhinoplasty needs, look no further than Dr. Toriumi and his team.
I have been seeing Dr. Toriumi for the last 21 years. He performed a revision rhinoplasty and upper and lower blephoplasty surgeries on me. I suffered from extensive scaring during my first surgery and really don’t heal well so he guided me through my surgeries always addressing my concerns. I had a really busy work schedule back then and his staff always accommodated my scheduling needs as I am about an hour away. Dr. Toriumi is a quiet man but he always chooses his words thoughtfully and he is tremendously compassionate. I wouldn’t think of seeing another surgeon. As I have aged I now find I may need some attention beyond Botox. The most telling commentary I can make is that I have brought both my daughters to see Dr. Toriumi.
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