Rhinoplasty Cases
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Case 81
This young woman presented for septorhinoplasty. Her main concern was that the nose was not straight and was very asymmetric. She also had difficulty breathing. Her before photos reveal a very difficult nose that is extremely deviated and asymmetric . There is a large depression on the right side of the tip. The profile view shows that the nose is somewhat overprojected. The view from below shows severe nostril asymmetry. An external septorhinoplasty was performed to straighten the deviated septum and tip. A graft of cartilage taken from the nasal septum was used to fill in the depression on the…
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Case 43
This young woman was displeased with the length of her nose, feeling that it extended too far from her face and created an unattractive appearance. She was also upset by the bump at the bridge of her nose, visible in her preoperative profile-view photograph. Researching her options for rhinoplasty surgeons in Toronto, she decided to meet with Dr. Rival based on his extensive training and clear experience providing satisfying results. In her consultation, she and Dr. Rival discussed the best options to correct the asymmetry of her nose that, as her pre-operative photo demonstrates, was situated significantly lower on the…
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Case 64
This woman underwent rhinoplasty in Toronto. She was concerned about the large hump on the bridge and felt her nose was too wide. She particularly felt the bridge was too wide near the top. She underwent an external approach septorhinoplasty. The hump was reduced and the bridge and tip were narrowed. The narrowing of the tip was somewhat limited by her thick skin. She does however show nice narrowing of her bridge. The nasal bridge is narrowed in rhinoplasty by performing what surgeons call osteotomies. These are fine cuts made in the bone that allow the bones to move inward…
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Case 87
This young woman underwent a rhinoplasty in Toronto. This was done through an endonasal or closed approach. Her main concern was with her profile which had a convex shape related to a large hump and mild droopiness of the tip. The after photos show a profile that now has a softer more feminine shape with a nice break before the tip accentuating the tip’s nice shape.
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Case 44
This young man had a deviated and asymmetric nose as a result of previous nasal trauma/ nasal fracture. The bony nasal pyramid was wide and deviated and the tip was deviated to the right. Note the asymmetry of the nostrils in the view from below as a result of the tip deviation. He underwent an external approach septorhinoplasty to straighten the nose and improve the overall symmetry. The tip is now midline and the nostrils are almost equal. His breathing is also markedly improved as a result of the surgery to correct the deviated septum.
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Case 65
This young Toronto woman had a difficult nose. The main issues were with the tip of the nose. It was quite ptotic (droopy) so the goal was to lift the tip and reduce the hanging collumella seen in the frontal view ( the piece in between the nostrils). The concern was that her nostrils were quite retracted and angled upwards so over exposure of the nostrils was a concern when the tip was lifted. To avoid this problem grafts of cartilage were placed along the rims of the nostrils to push them downwards. These are called alar rim grafts. In…
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Case 89
This young woman disliked the shape of her nose. She felt it was too long and large for her face. She underwent a rhinoplasty in Toronto. Analysis of her nose reveals a hump on the nasal bridge, the tip is long and points downwards although has good definition and shape. She underwent nasal reshaping to reduce the hump and lift and set back the tip. This was done while maintaining the narrowness and natural definition of the tip she liked. Plastic surgeons who are experienced in rhinoplasty always try to use conservative techniques that preserve the natural attractive structure of…
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Case 13
This young Toronto woman desired a subtle change in her nose. She disliked the bump and felt it was overprojected. Rhinoplasty was performed through an internal(endonasal) approach to reduce the bump and set the tip back maintaining the strong bridge that she desired. Gender: Female
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