Longterm rhinoplasty results

This patient is 1.5 years postop after rhinoplasty. The goal is a natural appearing result that does not droop when she smiles and complements the rest of her facial features. VIEW NOW

Selecting the right surgeon

Selecting it the right surgeon is incredibly important in Rhinoplasty. It is essential that you study your surgeon’s online before & after gallery to make sure that there are lots of results and you like the vast majority of those results. VIEW NOW

Nasal tip deprojection

Nasal Tip Deprojection can be performed in order to shorten an elongated nasal tip. I excise 4-16 mm of the medial crural footplates and anchor this to a strong columellar strut graft. VIEW NOW

Finesse revision rhinoplasty

Nasal tip deprojection can be performed during a revision rhinoplasty to provide subtle yet important aesthetic improvements in the tip VIEW NOW

Tip debulking rhinoplasty

In order to achieve tip refinement in the patient with thick nasal tip skin, it is often necessary to debulk the soft tissue of the tip in order to achieve adequate tip definition. VIEW NOW

Nasal tip deprojection

Nasal tip deprojection can be performed during Rhinoplasty to stabilize the entire tip complex and shorten the tip to prevent a ski slope look to the nose after dorsal hump reduction. VIEW NOW

Male rhinoplasty

The most important aspect of male rhinoplasty is to not over resect the dorsum and not over rotate the tip. It is very important to keep the nose natural looking. VIEW NOW

Treatment of the foreshortened nose

Treatment of the overrotated foreshortened notice requires extended spreader grafts in order to elongate the entire tip complex. This is one of the most complex maneuvers in all of rhinoplasty. VIEW NOW

Straightening the crooked nose in revision rhinoplasty

Straightening the crooked tip in revision rhinoplasty requires complex maneuvers, including spreader grafts, asymmetric Nasal Tip Deprojection, septal scoring, alar contour grafts, and septal reset VIEW NOW

Treating nostril asymmetry in revision rhinoplasty

Treatment of nostril asymmetry in Revision Rhinoplasty requires many complex maneuvers, including alar contour, grafts, nasal tip deprojection, and appropriately tensioning the tip. VIEW NOW

Nasal tip deprojection

It is very important to shorten an elongated nasal tip during rhinoplasty by performing a Nasal Tip Deprojection in order to prevent the ski slope look of the nose when this is not performed adequately. VIEW NOW

Dorsal hump reduction

Dorsal hump reduction is accomplished by reducing both the bone and cartilaginous aspects of the dorsum. I always place spreader grafts in order to support breathing when taking down the dorsal hump. VIEW NOW

Incision of open rhinoplasty should not be visible

The incision of an open Rhinoplasty should not be visible. A stair step incision can be used and the goal should always be in an unnoticeable scar. VIEW NOW

Revision rhinoplasty: drooping nasal tip

Treating the drooping nasal tip in revision rhinoplasty often involves improved tip support. This can be accomplished through a variety of different maneuvers, the most important of which is cartilage grafting. VIEW NOW

Treatment of the hanging columella in revision rhinoplasty

Treatment of the hanging columella in revision Rhinoplasty can be accomplished by providing improved tip support. It is also very important to create an appropriate tip defining point. VIEW NOW