Rhinoplasty Cases
-
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…
View Case -
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…
View Case -
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.…
View Case -
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…
View Case -
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…
View Case -
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…
View Case -
Case 62
This young woman suffered a nasal fracture. This resulted in the formation of a large hump on the nasal bridge near the top. There was also collapse of the bridge near the bottom where the bridge meets the tip ( the supratip area). A reconstructive rhinoplasty was performed to help restore the nasal contour. The dorsal hump was reduced and at the same time a cartilage graft taken from the nasal septum was used to rebuild her bridge. The tip was set back as well a small amount. While most nasal humps are genetic it does seem that some form…
View Case -
Case 60
This young woman had rhinoplasty in Toronto. She disliked the hump on the nasal bridge and felt her tip pointed downwards. She was particularly concerned about the appearance of her nose in profile view. She underwent an endonasal rhinoplasty (no external incisions). In this procedure the nasal tip cartilages are “delivered” to the outside and modified (see how we do the surgery section). In the after photos one can see that the dorsal hump has been reduced. The tip has been rotated upwards as requested without causing too much nostril show from the front. There is some mild refinement of…
View Case
