Revision Rhinoplasty Before & After Photos

Revision Rhinoplasty Before & After Case 1

Revision Rhinoplasty (Nose Job) Before & After Photo. Surgery performed in Dallas, TX at Law Plastic Surgery.

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 splint removal. Swelling will continue to come down with taping and time. We can’t wait to see her final results!

Revision Rhinoplasty Before & After Case 2

Revision Rhinoplasty (Nose Job) Before & After Photo. Surgery performed in Dallas, TX at Law Plastic Surgery.

Secondary rhinoplasty is a welcome challenge in my practice.

This patient communicates beautifully and expressively with her eyes and smile, but her nose was distracting and causing progressively worse breathing problems.

Anatomically, her septum and columella twisted to the left, and her lower lateral cartilage on the left with asymmetric amounts of lateral crural steal and medial crural excess.

After careful discussion about goals for breathing and symmetry, open approach rhinoplasty was performed, including septoplasty, spreader grafts, and tip reshaping.

She is swollen at this early 1 month mark, but already breathing better and getting compliments on her nasal remodeling.

We look forward to her definition and refinement showing through over the next 6-12 months!

Revision Rhinoplasty Before & After Case 3

Revision Rhinoplasty (Nose Job) Before & After Photo. Surgery performed in Dallas, TX at Law Plastic Surgery.

Secondary nasal reconstruction may be needed after an initial rhinoplasty continues to evolve and age.

In this case, a trauma sped up the timeline as a cartilage graft was hit, broke, and then became immediately mobile.

While challenging, achieving a satisfactory result can be done with careful analysis of the anatomy, and being willing to adjust a plan as needed to fit how somebody’s body responds to different maneuvers.

Most importantly, I have patients who seem surprised at the amount of time we take to listen, and try to understand exactly what they are seeing and feeling.

I always strive to take enough time to know exactly what is bothering someone, make sure that agrees with what I’m seeing anatomically, and then seeing if I think I can make an improvement reliably.

If I don’t think I can deliver with a good chance of helping someone, I will say so as honestly and openly as I can.

Revision Rhinoplasty Before & After Case 6

Revision Rhinoplasty Before & After Photo. Surgery performed in Dallas, TX at Law Plastic Surgery.

Revision Rhinoplasty (Nose Job) Before & After Photo. Surgery performed in Dallas, TX at Law Plastic Surgery.

Nasal implants over time can cause problems with extrusion, infection, capsular contracture, pain, and displacement.

For this patient, the implant had been placed a decade prior in Asia, but it had gradually become more uncomfortable.

We discussed the risks and benefits of secondary reconstruction with cartilage grafts from her septum or rib (her own versus from a donor), but she opted to have the implant removed without any new grafts.

In this case, the dorsal graft was removed, but significant loss of dorsal projection was seen, with redundant and ptotic soft tissue. This internally, local soft tissue rearrangement and suture techniques of the upper lateral cartilages helped to refine her dorsum and aesthetic lines.

Tip suture techniques also helped strengthen and refine her tip.