Usually we wait until after skeletal maturity and jaw surgery before offering a cleft rhinoplasty. However, if nasal obstruction and symptoms are severe, nasal reconstruction before jaw surgery is sometimes done, knowing that a second surgery may be needed after the maxilla is moved forward. Here, septal deviation and airway collapse led to nasal obstruction, sleep apnea, and difficulty with … Read More
This man came to us with severe facial asymmetry even after over 10 surgeries elsewhere for Parry Romberg Syndrome.
This man came to us with severe facial asymmetry even after over 10 surgeries elsewhere for Parry Romberg Syndrome. Those surgeries included 2 free flap surgeries, but he still had a fair amount of asymmetry and tightness of the upper cheeks and soft tissue on the entire left side of his face. He has since gone through two surgeries with … Read More
Structural rhinoplasty was performed via an open approach, with spreader grafts, lower lateral cartilage repair (with reorientation of his previous surgical repair), and septal extension graft.
“I’m feeling better… 110% better. I thought I had sleep apnea. My wife tells me my snoring went away… I’m just sleeping a lot better. Now I feel more rested and just breathing a lot better. Slow process of trying to actually breathe correctly for the first time in my life, through my nose instead of through the mouth. The … Read More
This athlete couldn’t breathe, with a history of a fractured and deviated septum, and a pharyngeal flap previously used to help speech for her cleft palate.
This athlete couldn’t breathe, with a history of a fractured and deviated septum, and a pharyngeal flap previously used to help speech for her cleft palate. For patients with a history of a pharyngeal flap, these may actually be divided and revised after several years, usually with no change in speech and nasality, but with much improved breathing and speech. … Read More
This beautiful girl has a history of a cleft lip and palate.
This beautiful girl has a history of a cleft lip and palate. She had severe nasal obstruction as is nearly always seen with our cleft patients, with septal deviation. She also had some imbalance of her lip, with the height of the skin several millimeters shorter on the cleft side. This can be seen with very small imbalances magnified over … Read More
This young man has done very well with his history of cleft lip and palate surgeries throughout childhood, and he came to us for his cleft rhinoplasty.
This young man has done very well with his history of cleft lip and palate surgeries throughout childhood, and he came to us for his cleft rhinoplasty. First and foremost, he had difficulty breathing because of a deviated septum. From the front you can see a slight deviation of the bridge of his nose extending to the tip. As it … Read More
This beautiful patient is thrilled after her cleft rhinoplasty!
This beautiful patient is thrilled after her cleft rhinoplasty! She had the normal development we see with most cleft lip patients. Her septum was pointing to the right — away from the cleft side — causing severe nasal obstruction. She also had slumping and weakness of the cartilage and skin on the same side as her cleft lip. We performed … Read More
This handsome man had severe nasal obstruction and nasal asymmetry, with collapse and less growth of the left side of his nose.
This handsome man had severe nasal obstruction and nasal asymmetry, with collapse and less growth of the left side of his nose. He also had a notch of his upper lip with some irregular scar texture. Open rhinoplasty was performed, with release of the old scar tissue, and multiple cartilage grafts from his septum used to support his collapsed nasal … Read More
This man had a history of a cleft lip and a lifetime of difficulty breathing through his nose.
This man had a history of a cleft lip and a lifetime of difficulty breathing through his nose. The septum (or wall between the two nostrils) is deviated away from the cleft, and the cartilage on the cleft side is usually smaller and weaker. Correction of the deviated septum, and use of the cartilage for grafts to buttress the airway, … Read More
This young woman had airway obstruction caused by her deviated septum. She also had a dorsal hump and asymmetries of her tip and columella.
This young woman had airway obstruction caused by her deviated septum. She also had a dorsal hump and asymmetries of her tip and columella. I performed an open rhinoplasty to straighten her nose, including nasal osteotomies, dorsal hump reduction, and refinement of her nasal tip. She returned at one week with a huge smile and amazement at how much better … Read More
This lovely woman had a crooked nose after breaking it at the outset of Covid. Unfortunately she was unable to have it repaired at the time of injury.
This lovely woman had a crooked nose after breaking it at the outset of Covid. Unfortunately she was unable to have it repaired at the time of injury. She came to us with difficulty breathing and severe deviation of her dorsum. Bruising and swelling is expected early on, especially if the nasal bones need to be repositioned as was done … Read More
This lovely woman had problems breathing even after a previous septoplasty.
This lovely woman had problems breathing even after a previous septoplasty. Unfortunately, she also had collapse of the middle portion of her nose, resulting in a “saddle nose” deformity. We performed an open rhinoplasty using spreader grafts and nasal bone reduction to smooth her contour and help her breathe better than ever! Here she is seen at 2 weeks after … Read More