| |
 |
| |
|
| |
Nose Reshaping (Rhinoplasty)
Dr. Grigoryants specializes in endonasal rhinoplasty (also known as closed rhinoplasty). In endonasal rhinoplasty, incisions are placed inside the nose and, therefore, no scar will be present across the bottom of the nose. The goal of nose surgery is to create a natural and more attractive nose. In many patients breathing airway obstruction is treated at the same time. |
| |
|
| |
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
|
PATIENT 1: In this patient nose reshaping
(rhinoplasty) was performed to remove the
nasal bump and raise the tip of the nose.
Incisions were placed inside the nose- known as a closed rhinoplasty or endonasal rhinoplasty.
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
 |
 |
PATIENT 2: Closed rhinoplasty was performed to narrow and lift the tip and reduce the hump.
|
| |
|
|
|
 |
 |
| |
|
 |
 |
| |
|
| |
|
| |
|
| |
Before surgery |
After surgery |
|
 |
 |
PATIENT 3. Wide nasal tip and nostrils were narrowed and dorsal hump reduced. Closed rhinoplasty. |
| |
|
|
 |
 |
|
| |
|
|
| |
|
|
| |
|
|
| |
|
|
| |
Before surgery |
After surgery |
|
| |
 |
 |
PATIENT 4: This patient underwent closed rhinoplasty to remove the hump, raise the columella, repair the tension lip (upper lip pulled forward). Chin augmentation was performed using a Radiesse injection. |
| |
|
| |
|
|
|
| |
 |
 |
|
| |
|
|
|
| |
 |
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
 |
 |
|
| |
PATIENT 5: Closed (endonasal) rhinoplasty was performed to refine the tip, reduce the bump, and lift the hanging columella (bottom portion of the nose). |
| |
|
|
|
| |
 |
 |
|
| |
|
|
|
| |
 |
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
 |
 |
PATIENT 6:This patient underwent closed rhinoplasty to raise the tip, improve tip definition, and reduce the dorsal hump. Some swelling around the tip is present 1 month after surgery. The shape of the tip will continue to improve as the swelling subsides. |
| |
|
| |
|
|
|
| |
 |
 |
|
| |
|
|
|
| |
 |
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
Before surgery |
After surgery |
|
|
 |
|
PATIENT 7: Endonasal rhinoplasty was performed to refine and raise the tip, shorten the nose (deproject), and remove the bump. Breathing airway function was maintained by placement of spreader grafts and turbinate reduction. |
| |
|
|
 |
 |
|
| |
|
|
 |
 |
|
| |
|
|
| |
|
|
| |
|
|
| |
Before surgery |
After surgery |
|
| |
 |
 |
PATIENT 8 : Closed rhinoplasty was performed to reduce the width of the tip, raise the tip, and remove the bump. |
| |
|
| |
|
|
|
| |
 |
 |
|
| |
|
|
|
| |
 |
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
Before surgery |
After surgery |
|
 |
 |
PATIENT 9 : Closed rhinoplasty was performed to raise the tip, reduce the bump, and smooth out arched nostrils. |
|
| |
|
|
 |
 |
|
| |
|
|
 |
 |
|
| |
|
|
| |
|
|
| |
|
|
Before surgery |
After surgery |
|
 |
 |
PATIENT 10: Closed rhinoplasty performed to lift the tip, remove the bump, and decrease nostril show. The tip with was reduced. |
| |
| |
|
|
 |
 |
|
| |
|
|
 |
 |
|
| |
|
|
 |
 |
|
| |
|
|
| |
|
|
| |
|
|
Before surgery |
After surgery |
|
 |
 |
PATIENT 11 :Closed rhinoplasty was performed to decrease nostril width, reduce the bump, and improve tip definition. |
| |
| |
|
|
 |
 |
|
| |
|
|
 |
 |
| |
|
| |
|
|
| |
|
|
| |
Before surgery |
After surgery |
|
| |
 |
 |
PATIENT 12: Endonasal rhinoplasty was performed to reduce the dorsal hump and refine the tip. Septal deviation (crooked nose) was straightened. All incisions are placed inside the nose (no external scars present). |
| |
| |
|
|
| |
 |
|
|
| |
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
 |
 |
PATIENT 13 : This patient has a low nasal bridge
dorsal (radix), hump, and weak tip.
Nose reshaping was performed
using a closed (endonasal) approach
The dorsal hump was reduced, cartilage
grafts were placed in the bridge
(radix) and tip of the nose.
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
 |
 |
PATIENT 14. Nostrils size was reduced, nasal length shortened, and tip raised. |
| |
|
|
|
| |
 |
 |
|
| |
|
|
|
| |
 |
 |
|
| |
|
|
|
| |
|
|
| |
|
|
Before surgery |
After surgery |
|
 |
 |
PATIENT 15. Rhinoplasty was performed to narrow the nostrils, the tip, and remove the hump. |
| |
|
|
 |
 |
|
| |
|
|
| |
|
|
| |
|
|
Before surgery |
After surgery |
|
 |
 |
PATIENT 16. Closed rhinoplasty was performed to straighten the nose, refine the tip, reduce the dorsal hump. |
| |
|
|
 |
 |
|
| |
|
|
 |
 |
|
| |
|
|
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
Before surgery |
After surgery |
|
|
 |
|
PATIENT 17: Closed (endonasal) rhinoplasty was performed to refine the tip and nostrils, lift the tip, and remove the bump. |
| |
| |
|
|
|
 |
|
| |
|
|
|
 |
|
| |
|
|
| |
|
|
| |
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 18: Endonasal nose surgery in this patient produced a natural appearing nose. A tip graft improved tip definition. |
| |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
|
 |
PATIENT 19: This patient underwent endonasal rhinoplasty to remove the dorsal hump and improve tip definition using a cartilage graft. |
| |
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 20: Closed rhinoplasty (endonasal) was performed to straighten the deviated septum and narrow the tip. |
| |
|
| |
|
|
|
| |
|
 |
Side View - In the same patient, the hump was reduced and the tip was raised producing an attractive and natural contour of the nose. |
| |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT21: This patient underwent closed rhinoplasty. The wide tip was narrowed, nose was shortenedm and the hump was removed. |
| |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT22: Endonasal rhinoplasty was performed to refine the tip, raise the tip, and shave the hump of the dorsum. |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 23: Closed rhinoplasty. The tip and nostrils were narrowed. The dorsal hump was reduced. |
| |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 24: Nose reshaping surgery was performed to decrease the dorsal hump and refine the tip. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 25: Closed rhinoplasty was performed to reduce the dorsal hump, narrow the tip, raise hanging columella (bottom of the nose). A tip graft was used to improve tip definition. |
| |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 26: This patient underwent closed rhinoplasty. The tip was raised and the bump was removed. Natural appearance of the nose was preserved. |
| |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
ATIENT 27: This patient broke his nose in the past. Closed rhinoplasty was performed to straighten the nose, decrease nostril size, reduce the dorsal hump, and improve breathing. |
| |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
 |
 |
PATIENT 28: In this young patient, the nose is wide at bridge, dorsal hump is present, and the tip appears droopy. Closed rhinoplasty was performed to narrow the nose, reduce the height of the bridge, and improve tip definition. Nostril show on the side view was also reduced. |
| |
| |
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 29:This patient has a wide nose, with a pronounced dorsal hump, wide nostrils, and no tip definition. Closed rhinoplasty was peformed. The width of the tip and nostrils was reduced. The hump was reduced and the tip was reconstructed using a cartilage graft obtained from the nasal septum. |
| |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT30: This patient underwent closed rhinoplasty to narrow the tip straighten the nose, reduce the bump on the bridge of the nose, and decrease nostril show. |
| |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 31: Nose surgery in this patient was performed to reduce the dorsal hump and refine the tip. |
| |
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 32: This patient was displeased with a wide and overprojected nose as well as a bump on the bridge of the nose. Closed rhinoplasty was performed to produce a more attractive and natural shape of the nose. |
| |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 33: This patient has a crooked nose with a dorsal hump. Nose surgery was performed to straighten the nose, reduce the hump, and raise the tip. A deviated septum (crooked nose) was straightened. |
| |
|
| |
|
|
|
| |
|
 |
| |
|
|
| |
|
 |
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 34: This patient underwent nose reshaping (endonasal rhinoplasty) and a chin augmentation. |
| |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 35: Closed rhinoplasty - hanging columella was raised and the tip was refined. The small dorsal hump was reduced. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
|
 |
| |
|
|
 |
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 36:Closed rhinoplasty. The nose was straightened, narrowed, and the tip was refined. |
| |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 37: About two months after closed rhinoplasty. The hump was removed, tip refined, and hanging columella was raised. Some tip swelling is present and will continue to resolve. |
| |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
| |
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 38 : Endonasal rhinoplasty was performed. The dorsal hump was removed. The tip was refined and supported using grafts. |
| |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 39 : Endonasal rhinoplasty was performed
to reduce nostrile size, decrease
dorsal hump, and rotate the tip up.
|
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 40 : In this patient nose surgery was performed
to reduce size of the nostrils, rotate
the tip up and produce a gently
curved dorsum. Composite septal cartilage
and mucosa grafting to the nostrils
was performed to decrease arching of the
nostrils.
|
| |
|

|
|
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 41 : Endonasal nose surgery
(rhinoplasty) was performed to
reduce the dorsal hump.
|
|
|
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
Patient 42: Closed rhinoplasty- Septoplasty was performed to improve the crooked appearance of the nose. Dorsal hump reduced and tip refined.
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 43 : This patient underwent an endonasal rhinoplasty and chin enlargement using a chin implant. Tip refinement was performed, the hump was reduced and the nose was straightened. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 44: Endonasal rhinoplasty was performed
to removed the dorsal hump, raise the
tip, and decrease nostril show.
.
|
| |
|
|
 |
|
|
|
| |
| |
|
|
| |
|
Before surgery |
After surgery |
| |
|
 |
PATIENT 45 : This patient underwent endonasal
rhinoplasty as well as brow lift and
neck liposuction.
|
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|

|
PATIENT 46 : Endonasal rhinoplasty with tip grafting.
|
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 47 : In this patient endonasal rhinoplasty
was performed. A small cartilage graft
was placed in the columella (bottom
portion) to smooth its contour
|
|
|
|
| |
|
|
|
| |
|
| |
Before surgery |
After surgery |
|
|
 |
PATIENT48: Endonasal rhinoplasty was performed to remove the dorsal hump and decrease nostril show. |
| |
| |
|
|
|
 |
|
| |
|
|
|
 |
|
| |
|
| |
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 49 : Endonasal rhinoplasty with
tip cartilage grafting.
|
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 50: Male rhinoplasty. Closed rhinoplasty was performed to raise the tip and reduced the dorsal hump. |
| |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 51 : Three weeks after undergoing
nose reshaping (rhinoplasty).
The nasal bump was removed.
The width of the nose was narrowed.
The tip was refined and raised.
The deviated septum was straightened.
All incisions were placed inside
the nose (endonasal approach).
A deviated septum was straightened.
|
| |
|
 |
|
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 52 : This patient underwent endonasal
rhinoplasty to reduce the dorsal hump.
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 53: Rhinoplasty was
performed to remove the dorsal
hump and shorten the nose. |
| |
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 54: This patient underwent Endonasal rhinoplasty and chin augmentation
using a silicone implant.
|
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 55 : Endonasal rhinoplasty was performed
to reduce the dorsal hump of the nose. A tip graft was placed to improve the definition of the tip.
|
|
|
|
| |
|
|
|
|
 |
| |
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 56 : This patient underwent
endonasal rhinoplasty to
raise the tip and reduce the
dorsal hump.
|
|
|
|
| |
| |
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 57 : Endonasal rhinoplasty
was performed in
this patient to raise the
tip of the nose and
remove the dorsal hump.
|
|
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
|
|
|
|
| |
|
 |
PATIENT 58 : Endonasal rhinoplasty
was performed
This patient requested
to have a straight
nose and raise the
hanging columela
to decrease nostril show. |
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 59 : In this patient the dorsal
hump was reduced, the tip
was raised, and a cartilage
graft was placed in the
tip to improve its projection.
|
|
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 60 : Endonasal rhinoplasty
with tip cartilage grafting
was performed.
|
|
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 61 : This patient underwent
endonasal rhinoplasty to decrease the
width of the tip, width of nostrils,
and reduce the dorsal hump.
|
| |
|
|
|
|
 |
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT62: Endonasal rhinoplasty
|
|
| |
| |
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 63 : Endonasal rhinoplasty and
neck liposuction.
Upper and lower blepharoplasty
was performed at the same time. |
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 64 : In this patient rhinoplasty
was performed to reduce
the dorsal hump and narrow the tip of the nose.
|
| |
|

|
|
|
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 65 : Endonasal (closed) rhinoplasty.
|
|
|
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 66: Endonasal rhinoplasty
was perfomed
|
|
|
|
|
| |
|
|
|
| |
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 67 : This patient underwent nose
surgery (endonasal rhinoplasty)
and neck liposuction.
The dorsal hump of the
nose was reduced, tip was
narrowed and rotated up.
|
| |
|
|
| |
|
 |
|
|
|
|
|
| |
|
|
|
| |
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 68: Endonasal rhinoplasty was performed to reduce dorsal hump of the nose.
|
|
|
|
|
| |
|
|
|
| |
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 69: In this patient the dorsal hump was reduced and a tip graft was placed using a closed approach.
|
|
|
|
|
| |
|
|
|
| |
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 70: This patient underwent endonasal rhinoplasty. The projection of the nose as well as the length was reduced. |
| |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 71: One year after closed rhinoplasty. Deviated septum was straightened, breathing was improved, and nose reshaped . |
| |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
|
PATIENT 72: Endonasal rhinoplasty. |
| |
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 73: Endonasal rhinoplasty- dorsal hump was reduced, nostril show was reduced, and a tip graft was placed to refine the tip. |
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 74: This patient requested a straight nose in profile. Closed rhinoplasty was perfomed to removed the dorsal hump, decrease nose projection (length from face to tip) and decrease nostril show. |
| |
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 75: Closed rhinoplasty. Septal deviation was corrected. Hanging columela was raised, the dorsal hump was reduced, and the tip was refined. |
| |
| |
|
|
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
Patient 76: Closed rhinoplasty |
| |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 77: Closed rhinoplasty was performed to reduced the dorsal hump and improve tip definition |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 78: Endonasal (closed) rhinoplasty was performed. Midnasal narrowing was improved and the dorsal hump was reduced. |
| |
|
| |
|
|
|
| |
|
 |
| |
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
|
PATIENT 79: Endonasal rhinoplasty to decrease the dorsal hump. |
|
|
 |
| |
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 80:This patient is two months after undergoing a closed rhinoplasty. The tip swelling will gradually subside. The large hump was removed achieving a better balance between the nose and the face. |
| |
|
| |
|
|
|
| |
|
 |
|
| |
|
| |
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 81: Closed rhinoplasty was performed to refine the tip, reduce the bump, and decrease projection of the nose. |
| |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 82: |
| |
This patient presented with nasal deviation and wide nasal bones following previous nasal fractures. The nose was straightened, nasal bones narrowed, and bump on the bridge reduced. Drastic changes were avoided. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
Before surgery |
After surgery |
|
|
 |
|
| PATIENT 83: Nose reshaping (rhinoplasty) was performed to straighten the nose remove the hump, and improve tip definition. |
| |
|
|
|
 |
|
| |
|
|
| |
|
|
Before surgery |
After surgery |
|
|
 |
|
|
PATIENT 84: Closed rhinoplasty to reduce the dorsal hump. |
| |
|
|
|
 |
|
| |
|
|
| |
|
|
Before surgery |
After surgery |
|
|
 |
|
PATIENT 85: This patient underwent closed rhinoplasty to refine and raise the tip as well as reduce the dorsal hump. |
| |
|
|
|
 |
|
| |
|
|
|
 |
|
| |
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 86 : Rhinoplasty was performed using an endonasal approach to straighten the nose, remove the dorsal hump, and improve tip definition. |
| |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 87 : Endonasal rhinoplasty- the tip width was reduced and the dorsal hump was removed. |
| |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 88 : This patient underwent closed rhinoplasty to reshape the nose. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 89: Closed rhinoplasty was performed to straighten the nose, remove, the dorsal hump, and raise the hanging columella. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT90: Closed rhinoplasty was performed to remove the large dorsal hump, refine and raise the tip. |
| |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
Before surgery |
After surgery |
|
|
 |
|
PATIENT 91: This patient underwent closed rhinoplasty to refine the tip, narrow nostril width, and remove the dorsal bump. |
| |
|
|
|
 |
|
| |
|
|
|
 |
|
| |
|
|
| |
|
|
|
Before surgery |
After surgery |
|
|
 |
|
| PATIENT 92 : Closed rhinoplasty- nostrils narrowed, dorsal hump removed, and tip raised. The nostril were also lowered to diminish their arche appearance before surgery. |
| |
|
|
|
 |
|
| |
|
|
|
|
 |
|
| |
|
|
| |
|
|
Before surgery |
After surgery |
|
|
 |
|
| PATIENT 93 : Closed rhinoplasty- the tip was narrowed, refined, and lifted. The dorsal hump was reduced. |
| |
|
|
|
 |
|
| |
|
|
| |
|
|
Before surgery |
After surgery |
|
|
 |
|
PATIENT 94 : Closed rhinoplasty tip refined and dorsal hump reduced. |
| |
|
|
|
 |
|
| |
|
|
|
 |
|
| |
|
|
| |
|
|
Before surgery |
After surgery |
|
|
 |
|
PATIENT 95 : Wide nostrils and tip were narrowed and the dorsal bump was reduced using closed rhinoplasty. |
| |
|
|
|
 |
|
| |
|
|
|
 |
| |
|
| |
|
|
Before surgery |
After surgery |
|
|
 |
|
PATIENT 96 : Closed rhinoplasty was performed to reduced the width of the nasal bones. The tip was lifted and reduced in width. |
| |
|
|
|
 |
|
| |
|
|
| |
|
|
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 97 : Closed (endonasal) rhinoplasty- the tip was refined and lifted. The dorsal hump was reduced. |
| |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 98 : Closed rhinoplasty- Deviated nose was straightened. The nose was reshaped to produce a more feminine shape. Deviated septum was straightened (see bottom views). |
| |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
Deviated septum causing nasal obstruction was corrected. Endonasal approach was used - no external scars present. |
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 99 : Closed rhinoplasty. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 100 : Closed rhinoplasty was performed to achieve a more feminine nasal shape. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 101 : Closed rhinoplasty- the tip was refined and dorsal hump reduced. Nasal projection was decreased (distance from the face to the tip). Natural appearance of the nose was maintained. |
| |
|
|
|
| |
|
 |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
Before surgery |
After surgery |
|
|
 |
|
| PATIENT 102 : Endonasal/closed rhinoplasty. |
| |
|
|
|
 |
|
| |
|
|
|
 |
|
| |
|
|
| |
|
|
|
| |
|
|
Before surgery |
After surgery |
|
|
 |
|
| PATIENT103 : Closed rhinoplasty in a young male patient. |
|
|
|
|
 |
|
| |
|
|
| |
|
|
| |
|
|
Before surgery |
After surgery |
|
|
 |
|
PATIENT 104 : Closed rhinoplaty was performed to reduce the tip width, reduce nostril width, and reduce the dorsal hump. |
| |
|
|
|
 |
|
| |
|
|
| |
|
|
| |
|
|
Before surgery |
After surgery |
|
|
 |
|
PATIENT 105 : The size of the nose was reduced lifting and narrowing the tip, reducing the bump, and shortening tip projection. |
| |
|
|
|
 |
|
| |
|
|
|
 |
|
| |
|
|
| |
|
|
| |
|
|
Before surgery |
After surgery |
|
|
 |
|
PATIENT 106 : Closed rhinoplasty to refine the tip and reduce the dorsal hump. |
| |
|
|
|
 |
|
| |
|
|
|
 |
|
| |
|
|
| |
|
|
Before surgery |
After surgery |
|
|
 |
|
PATIENT 107. Closed rhinoplasty was performed to lift the tip, shorten the nose, and reduce the dorsal hump. |
| |
|
|
|
 |
|
| |
|
|
|
 |
|
| |
|
|
| |
|
|
Before surgery |
After surgery |
|
|
 |
|
PATIENT 108. Suddle refinements of the dorsum and the tip were made using closed rhinoplasty techniques. |
| |
|
|
|
 |
|
| |
|
|
| |
|
|
Before surgery |
After surgery |
|
|
 |
|
PATIENT 109. The dorsal hump was reduced, the tip was narrowed, and the length of the nostrils was reduced using closed rhinoplasty. |
| |
|
|
|
 |
|
| |
|
|
|
 |
|
| |
|
|
| |
|
|
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 110. Closed rhinoplasty - nasal airways were opened and the nose was reshaped maintaining a natural male nasal shape. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 111. This patient had a significant deformity of the tip, dorsum, and septum before surgery. The septum has a C shape deviation.
Closed rhinoplasty was performed to straighten the nose and reshape the tip and the dorsum. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
PATIENT 112. Projection of the nose was decreased, the length of the nostrils shortened, and dorsal hump reduced. Closed rhinoplasty. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 113. This patient had a C- shape deformity of the nose as well as breathing problems before surgery. The nose was straightened and nasal airways were opened. The width of the tip was reduced and dorsal hump shaved down. Closed rhinoplasty. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 114. This patient requested suddle changes in the shape of the nose including removing the bump, making nostrils less arched, and lifting the tip. These were achieved via closed rhinoplasty. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 115. Closed rhinoplasty was performed to refine the tip, reduced the dorsal hump, and shorten the nose. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 116. Nasal width was narrowed, the tip was refined and raised, the dorsal hump was removed. Closed rhinoplasty. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 117. Closed rhinoplasty- the nose was made shorter (deprojected), reducing the tension lip appearance of the upper lip. Nostril length was shortened and dorsal hump reduced. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 118. The nose was narrowed, tip refined and dorsal hump removed. Closed rhinoplasty. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 119. Prominent hump was reduced and the tip was raised. C shaped deformity of the nose was improved. Closed rhinoplasty |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 120. Overprojected nose was shortened, tip refined, and dorsal hump reduced. Closed rhinoplasty. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 121. Hanging columella was raised, dorsal hump reduced, and tip refined preserving the natural appearance of the tip. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 122. Nostril arching was reduced, tip raised, and dorsal hump reduced. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 123. Closed rhinoplasty was performed to straighted the deviated nasal tip, reduce nostril arching and size of nostrils, and reduce the dorsal hump. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
|
| |
|
|
|
| |
|
 |
PATIENT 124. Wide tip and nostrils were narrowed. Hanging tip and columella were raised and dorsal hump reduced. Deviated nasal septum was straightened. Closed rhinoplasty. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
PATIENT 125. Overall nasal width was reduced, tip refined, and dorsal hump reduced. Closed rhinoplasty. |
| |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 126 C- shape deformity was corrected via closed septorhinoplasty The dorsal hump was reduced and tip refined. |
| |
|
|
|
| |
|
 |
|
| |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 127.Closed rhinoplasty was performed to refine the nasal shape. |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| |
|
|
|
| |
Before surgery |
After surgery |
|
| |
|
 |
|
| |
PATIENT 129.Closed rhinoplasty with nostril reduction (alar base reduction). |
| |
|
|
|
| |
|
 |
|
| |
|
|
|
| | | |