Rhinoplasty Cases
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Case 72
This young man began researching rhinoplasty surgeons in Toronto to find out how to correct his overly prominent nose. During his consultation, Dr. Rival found that the man’s nose exhibited a large hump and over-projected bridge, as well as an over-projected tip. This patient’s preoperative photographs show how his crooked nose with its large, asymmetrical tip and nostrils caused his face to appear uneven. In his evaluation, Dr. Rival established that this man has quite thick skin, which would naturally limit the amount of reduction possible. People with this trait can still expect a smaller, more improved shape to the…
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Case 71
This young woman did not like the shape of her nose. She had a convex shape to the profile with some ptosis of the tip. From the front the tip was a bit bulbous and had excess hanging in the region between the nostrils (sometimes called a hanging collumella). She underwent rhinoplasty in Toronto. A closed approach was the used. The bridge was reduced and the tip narrowed and lifted. She wished a natural looking straight profile and this was achieved. In a female nose especially we try to obtain a “supratip break.” This refers to the small depression before…
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Case 7
This Toronto area patient felt that her nose was too prominent, and was also displeased with the large bump at the bridge. When she met with Dr. Rival at our plastic and rhinoplasty surgery offices in Toronto, she explained that she wanted a her nose to be straighter and smaller, and balance out the rest of her features. For patients who have more significant deformities, and in certain other cases, an “open” rhinoplasty is appropriate. For many other patients, though, Dr. Rival can perform the entire procedure as an “endonasal” procedure, through incisions hidden inside the nostrils. Based on this…
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Case 69
This young woman had rhinoplasty in Toronto. She disliked the appearance of her nose. In particular the rounded nature of the profile and width of the tip. Her case was complicated by the shape of her nostrils. The nostrils were angled upwards, sometimes called alar retraction. When this happens the inside of the nose is too visible from the side. Plastic surgeons refer to this an excess of collumellar show. When one raises the tip these nostrils will become more visible which can be un attractive. Therefore as part of the surgery we lower the rim of the nostrils placing…
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Case 68
This young woman had a rhinoplasty elsewhere and was unhappy with the outcome. She had a persistent hump on the bridge. The tip was droopy and asymmetric and the nose appeared crooked. It was noted that the left tip cartilage ( the lower lateral cartilage) was larger and hung down more than the right tip cartilage. This produced a very asymmetric tip which can be seen also from the base view looking up the nostrils. An external revision rhinoplasty was performed to correct these concerns. Results are shown about 6 months after surgery. The bump has been reduced and the…
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Case 67
This young woman had rhinoplasty in Toronto. Before surgery she was concerned about the bump on the bridge of the nose and that the nose was too droopy. She was found to have a prominent nose with a dorsal hump and the tip definitely pointed downwards with a lot of excess in the infratip lobule region ( hanging piece in between the nostrils). The tip was also noted to be a bit bulbous although not out of balance with her prominent eyes. A closed rhinoplasty was performed to reduce the hump, rotate the tip and reduce the hanging infratip lobule.…
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Case 66
This young man was unhappy with the bulbous appearance and disproportionately large size of his nose in comparison to the rest of his face. The tip of his nose appeared especially droopy and bulbous from the front. Adding to his problems, his nose was deviated, causing severe breathing problems that added physical discomfort to his self-consciousness about his appearance. To find out more about how cosmetic surgery could correct these problems he planned a consultation with Dr. Rival, rhinoplasty surgeon in Toronto. After discussing a number of options they decided together on an open-approach septorhinoplasty. This procedure is commonly used…
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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 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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