Rhinoplasty Cases

Case 6

This Toronto patients nose came too far out from the face or was overprojected. Conservative rhinoplasty was performed to set the tip back and maintain a strong male bridge. Rhinoplasty surgeons would call this nose a “tension nose.” The nose is pushed forward from the face by the overlong septum and nasal spine ( a small piece of bone at the base of the nose). By reducing these structures the nose fall back closer to the face and is therefore deprojected. One can also appreciate a bulge or ridge in the before picture in the right nostril. This represents the…

View Case

Case 58

This young woman had rhinoplasty in Toronto. She disliked the hump on her nose and felt the tip was a bit dependent pointing downwards which gave the nose excessive length. This downward orientation of the tip is often accentuated when you smile. The facial muscles in some people pull down and widen the nasal tip with smiling. This is why many patients dislike their nose in photographs more than in the mirror. She underwent an endonasal rhinoplasty where all the incisions are on the inside of the nose. One can see that the hump on the bridge has been reduced…

View Case

Case 56

This young woman felt her nose was too large. The tip was overprojected and she had long nostrils. There was also a bump on the bridge of the nose. She was also noted to have a strong chin. Photos are shown after rhinoplasty with significant reduction of tip projection and nostril length. The dorsal hump has been reduced to produce a straight bridge as requested. It is important that after rhinoplasty the nose fits in better with the rest of the facial features. In her case as she has a strong projecting chin it is more attractive to leave a…

View Case

Case 55

This young woman particularly disliked the shape and size of the tip of her nose. She felt it was too large and bulbous. She was noted to have very thick skin with large deep pores. This often limits how much change a rhinoplasty surgeon can achieve as the thick skin covers up the refinements made by the plastic surgeon to the nasal framework. She underwent an external approach septorhinoplasty. Aggressive changes were made to underlying nasal framework in order for the the change to be visible through her thick skin. One can see that the tip is narrower and more…

View Case

Case 54

This young women felt her nose was too large for her face. It was somewhat wide from the front but the major concern was the profile where her tip was quite overprojected. She had an external (open) approach septorhinoplasty to achieve significant deprojection of her nose setting it back closer to her face. The post operative photographs show the nose is set back and the nostril has shrunk to a much smaller size. The tip has been narrowed but still looks round and natural. The view from below shows a well healed external rhinoplasty scar which is very hard to…

View Case

Case 53

This north Toronto young woman felt her nose was overall too large. She disliked the bump on the nasal bridge. She felt the tip came out too far or was overprojected. From the front view she had excess tissue hanging down in between the nostrils or excess infratip lobule. However overall her nose from the front was attractive. Rhinoplasty was performed to reduce the hump, set the tip back and reduce the excess infratip lobule. Her change is most noticeable from the profile view. From the front the nose looks softer but generally there is not a major change. Dr…

View Case

Case 52

This young man had previous rhinoplasty elsewhere and had some nasal trauma in the past. His nose was deviated and internally he had a major deviation of his septum blocking his breathing passage. He had a persistent bump on the lower part of the bridge. The tip was very over projected with long excessive show of the nostrils. An external rhinoplasty was performed to straighten the nose and improve his breathing. The post operative photos now show the nose is straight. The tip has been set back and the nostrils reduced. The bump on the lower part of the bridge…

View Case

Case 50

This young woman decided to meet with Dr. Rival because she was unhappy with the size and shape of her nose and also felt that her lips were too thin to balance out the rest of her features. When she met with Dr. Rival to discuss her options for Toronto cosmetic surgery, it became apparent that she felt that the excess tissue that hung down between her nostrils (visible in her pre-operative profile photograph), made her nose look droopy. Dr. Rival discussed the possible types of rhinoplasty and informed her that rhinoplasty to enhance the tip of the nose will…

View Case

Case 49

Many people are troubled by the way their nose appears in profile. This woman was particularly distraught by what she felt to be an over-projected nose accompanied by an under projected chin. While one or the other might not be immediately noticeable, together these two characteristics created an obvious facial imbalance, visible in her pre-operative photo. While researching rhinoplasty surgeons in Toronto, she felt confident that Dr. Rival’s rhinoplasty experience and skill could produce results she desired. During her consultation, this woman made clear that she, like most rhinoplasty patients, wanted a more conservative approach that would retain as much…

View Case