Nose Surgery / NYC Rhinoplasty

53 year old female shown after revision rhinoplasty with the open approach to correct a twisted bulbous tip on front view and a saddle nose on profile view. Multiple cartilage grafts from the ear and septum were used to build her nose and straighten it.

*Results may vary.

26 year old female shown 1 WEEK after rhinoplasty and septoplasty. Patient had an endoscopic rhinoplasty to shave a bump as well as tip refinement with sutures and tip graft to support the nasal tip and prevent postoperative tip drop. Patient also had a septoplasty to correct nasal obstruction. Note patient is obviously still swollen but still with swelling, can be presentable in a week after procedure.

*Results may vary.

32 year old female requests rhinoplasty because she was unhappy with tip and dorsal before her wedding. Postoperative pictures are shown 6 months after surgery.

*Results may vary.

24 year old female of Italian descent unhappy with her long nose, bulbous tip, nasal bump. Patient is shown only 2 weeks after surgery. Note her nose is shorter, with a more refined nasal tip, although it is still swollen. Her profile shows dramatic improvement.The reason to show a 2 week postoperative result is to show that swelling is there but nose still looks much better than before surgery. The tip takes up to 1 year for all swelling to resolve.

*Results may vary.

14 year old female who wanted a smaller nose and parents were in agreement. Additionally, patient wanted her breathing improved. Patient is shown after endoscopic (endonasal) rhinoplasty 4 weeks after surgery. Although patient is swollen, a notable improvement is seen.

*Results may vary.

17 year old female concerned with size and length of her nose shown 6 months postoperatively with a much more aesthetic nose and pleasing nasolabial angle.

*Results may vary.

29 year old asian female who had a flat dorsum and tip with thick skin 1 year after rhinoplasty with dorsal septal cartilage implant and tip cartilage grafts for definition and support of thick asian skin. Notice the increase in tip projection and natural angle between nose and forehead and nose and upper lip.

*Results may vary.

26 year old female with a bump and a large boxy tip deformity. Patient shown 2 years post-Rhinoplasty.

*Results may vary.

27 year old actress who had a rhinoplasty as well as nostril reduction. Postoperative pictures shown are 1 year post-surgery.

*Results may vary.

26 year old female status post previous rhinoplasty, complaints of collapse on right side as well as droopy tip. Patient underwent revision rhinoplasty with addition of cartilage for tip support and addition of cartilage to the right side of nose to correct the collapse. Patient is shown 2 months after surgery, healing will continue for one year.

*Results may vary.

15 year old female concerned with size and length of her nose. Patient shown 1 year after neck liposuction, chin implant, and rhinoplasty.

*Results may vary.

54 year old interior designer who had a lower blepharoplasty, revision rhinoplasty with tip lift procedure, as well as facelift/necklift. Shown 2 years after surgery. Patient had baggy eyelids from fat removed as well as lower eyelid laser resurfacing to tighten the skin.

*Results may vary.

30 year old female with very thick skin shown before surgery and 6 months post-operatively. This nose was done with open approach to defat skin and achieve a better result.

*Results may vary.

24 year old female with a drooping and asymmetric nasal tip shown before and 6 months after rhinoplasty and septoplasty. Patient also had a deviated septum to the right shifting the nose to the right.

*Results may vary.

22 year old female with a large and drooping nasal tip, under projected nose (decreased distance from tip to face) and thick skin shown 6 months after rhinoplasty with refinement of her tip, adding cartilage from her septum to her tip to increase tip projection, removing her nasal bump and nostril adjustment. Note also the tip was rotated for ideal angle between nose and face for a female.

*Results may vary.

55 year old female with previous rhinoplasty complains of over rotated nose, pointy tip, saddle nose and inability to breathe. Patient shown 5 years after Revision Rhinoplasty with multiple cartilage grafts from ears and septum to build her tip, elongate her nose and rotate it down. I also improved her breathing by correcting external nasal valve collapse, where the skin of the nose collapses on inspiration due to excessive removal of cartilage.

*Results may vary.

45 year old female with previous history of rhinoplasty where too much bone was removed and not enough cartilage from area above tip. Additionally, nose is too rotated. Patient had an auricular (ear) cartilage graft to repair bony scooped area. the cartilage bump was reduced and nose was lengthened with a caudal septal cartilage graft. From the front, nostril on right side was reduced to create more symmetry.

*Results may vary.

24 year old female requesting rhinoplasty. Patient has a tension nose and is overprojected and over rotated with overgrown tip cartilages. It was also recommended she have a chin implant at the same time. Patient is shown 6 months post rhinoplasty and chin implant. The rhinoplasty was performed from and endonasal approach with no external incision. The nose was deprojected (brought in closer to face) and tip cartilages were reduced and tip-binding stitches, which further define the tip, were placed. The chin implant was placed through a small incision under the chin. Postoperative pictures are taken at 6 months and the nose is still not as completely defined as it will be at 1 year.

*Results may vary.

35 year old female with history of previous rhinoplasty at age 15 where too much cartilage was removed. Preoperative pictures show a severely pinched tip in addition to a scooped out area on the left side near the rim of the nostril. Also the nose is too short. Postoperative pictures shown at 9 months after revision rhinoplasty with the open approach. Patient required a caudal septal extension graft from her septum to lengthen the nose as well as a left alar rim cartilage graft to correct the scooped out hole on the left and bilateral lower lateral cartilage grafts to correct the pinched tip. All cartilage grafts were obtained from patient's own septum.

*Results may vary.

50 year old asian female requesting refinement in her nasal bridge and tip. Patient shown 4 months after open rhinoplasty with tip grafting using her own cartilage, nostril reduction and a dorsal medpor implant.

*Results may vary.

30 year old female with large bump and long nose. Patient is shown 6 months after rhinoplasty.

*Results may vary.

22 year old female status post rhinopasty shown 5 years after who had a flat bifid tip and a nasal bony bump and cartilaginous saddle on profile view. Patient underwent septo-rhinoplasty with cartilage graft to cartilaginous saddle deformity.

*Results may vary.

53 year old female who wanted some refinement in her tip and slightly shortening her nose. She felt like her nose became longer as she aged. Patient has a very bulbous thick tip and has a drooping nasal tip. Patient is shown 1 MONTH after rhinoplasty. The tip was lifted and nose was shortened to a more youthful position and the tip was sculpted and defined. The tip will continue to become more defined for 1 year.

*Results may vary.

43 yo female with a severe saddle deformity and absence of septal cartilage to use for reconstruction underwent reconstructive rhinoplasty to correct saddle nose deformity using banked rib cartilage and temporalis fascia (soft tissue obtained from above the ear). The bony bump was reduced, the nose was straightened, and the cartilaginous saddle collapse was built up. The rib cartilage was sculpted using Dr. Sam Rizk's specialized microsurgical powered instruments to obtain a smooth result instead of the typical method using the surgical knife.

*Results may vary.

30 yo Hispanic/Dominican female interested in rhinoplasty. Patient is shown 4 months after rhinoplasty to remove her bump, narrow her nose and nostrils and also correct her saddle nose deformity above her tip. Ethnic rhinoplasty entails structural grafts in the tip to achieve structural support and definition. Old techniques of Excision of cartilage alone does not achieve a natural outcome. Notice patient's nose was not rotated because patient is tall and this nose fits her face and body better. Also she is still swollen and the nose will become more refined with time.

*Results may vary.

Patient is a 25 yo patient interested in creating a bridge to nose and more tip definition and reducing nostrils and also lifting the hanging columella. Patient underwent rhinoplasty and a customized medpor implant in nose which is sculpted during the rhinoplasty. Patient also underwent nostril reduction from incisions inside nostrils,rather than from external part near cheek. Patient is shown one year after rhinoplasty. This is considered an ethnic rhinoplasty procedure as patient has thick tip skin and weak tip cartilages as well as a flat bridge.

*Results may vary.

Patient is a 16 year old female who sustained injury to her nose causing a saddle nose deformity as well as difficulty breathing from a deviated nasal septum. Patient underwent a reconstructive rhinoplasty to rebuild her bridge with her own septal cartilage and septoplasty to repair her deviated nasal septum and improve her breathing. Although her postoperative picture is only 3 months postsurgery and patient is still swollen, the bridge shows repair of the saddle nose deformity.

*Results may vary.

This patient is 37 yo female who complained mainly about her profile. There is an imbalance between her nose and chin. She wanted a very conservative bump reduction. Nose was re-projected (brought closer to face), bump was reduced and tip was lifted slightly and a chin implant was also placed for facial balance. Postoperative pictures are shown at 1 year.

*Results may vary.

15 year teenage patient who underwent rhinoplasty to remove nasal bump from profile, refine nasal tip, and also fix a breathing issue secondary to a deviated nasal septum resulting from injury and difficulty breathing. Patient is shown 5 years postoperatively.

*Results may vary.

21 yo Mexican American female with dorsal bump and bulbous tip. Patient underwent open rhinoplasty for bump removal and conservative tip refinement. Patient is shown 1 year post rhinoplasty. Patient has thick tip skin and this is considered an ethnic rhinoplasty.

*Results may vary.

32 year old female with previous history of rhinoplasty who complains of a pinched asymmetrical nasal tip and difficulty breathing. Patient has also thin skin. Patient underwent revision septorhinoplasty with cartilage grafts and fascia to nasal tip so soften its appearance. Patient is shown 1 year after revision rhinoplasty.

*Results may vary.

23 year old asian female complains of lack of tip definition as well as a deviated nose to the right. Patient underwent rhinoplasty with auricular (ear cartilage) graft into her nose to give her more definition. The patient's own septum was too thin and inadequate for creating the definition necessary in her nose. Patient is shown one year after rhinoplasty with auricular cartilage graft.

*Results may vary.

23 year old female who underwent open rhinoplasty with grafts and alar base reduction. The patient has thick skin making this procedure an ethnic rhinoplasty. The nasal bridge and alar base was slimmed down to better compliment her facial features.

*Results may vary.

25 year old female wished to correct her nasal bump. She underwent rhinoplasty with bump reduction, with slight deprojection and tip lift. Patient is shown here 3 years after surgery.

*Results may vary.