Revision Rhinoplasty 2
Case 39: Before and After 6 Months. Her bridge was too wide and a little
high throughout. Her tip was a little full and droopy, making her nose look
too long for her face. Dr. Litner and Dr. Solieman centered around
correcting these issues along with some residual asymmetries to produce
a change that is at once both defined and feminine. Her new nose suits
her features perfectly.
*Results May Vary
*Results May Vary
Case 43: Before and After 6 Months. This patient had had a previous
rhinoplasty but felt her nose was still bulbous and undefined. Creating
real structure in combination with effective management of skin thickness
allowed her to achieve real definition. She wanted to improve her nasal
breathing at the same time as creating a smaller, softer nose. While
there’s still some swelling, you can see her amazing progress in these
early 6-month photos. She couldn’t be happier.
*Results May Vary
*Results May Vary
Case 1: Revision rhinoplasty can be one of the most life and appearance
enhancing procedures that is done. In this case previous rhinoplasty had
resulted in not only significant breathing problems but also significant
cosmetic concerns including twisted nose, an over projected look and tip
bossae and a hanging columella. The result of Revision Rhinoplasty is a
natural looking, beautiful nose that seamlessly fits and allows her to
breathe normally. (She also had neck liposuction which did an amazing
job of improving her neck line).
*Results May Vary
Case 2: 30 year old gentleman who had undergone surgery that resulted
in an overly feminized, scooped nasal bridge and internal as well as
external valve collapse. Irradiated rib cartilage not only helped restore a
stronger profile and aesthetic, but also corrected all the breathing
problems.
*Results May Vary
*Results May Vary
*Results May Vary
*Results May Vary
Case 3: This 24 year old gentleman, like case #2, required irradiated rib
cartilage for his revision. In this case the revision allowed for lengthening
of his previously over-shortened nose, restoration of a strong masculine
profile as well as a host of functional breathing problems.
*Results May Vary
*Results May Vary
Case 4: This woman had had her septum and tip severely over-
shortened during a previous surgery, leaving her with a very unnatural
looking distorted tip structure. She was very frightened for a long time at
the prospect of touching her nose again. Increasing nasal length in these
situations is one of the hardest things to accomplish in revision
rhinoplasty but, through use of irradiated rib cartilage, she was able to
achieve a beautiful, natural result with restoration of healthy breathing.
*Results May Vary
*Results May Vary
Case 5: 51 year old gentleman presented after 3 prior surgeries with
severer nasal obstruction, bilateral internal and external valve collapse as
well as a host of aesthetic concerns. Irradiated rib cartilage allowed for
repair of the breathing as well as aesthetic concerns which have
remained stable even 3 years later.
*Results May Vary
Case 6: In revision Rhinoplasty, we must contend with all sorts of
challenges, the hardest of which can be problems with the nasal skin.
This young woman suffered an infection following her previous surgery
resulting in an excessive amount of scar tissue and loss of cartilage
support. She wanted to improve the shortened, rounded, and ill-defined
appearance of her nose. In these 6 month photos, her nose is more
refined and balanced, and the collapse of her nasal airway has been
corrected.
*Results May Vary
*Results May Vary
*Results May Vary
*Results May Vary
Case 7: This is an example of a patient who had asked for a subtle
change from her previous rhinoplasty and later wished she hadn’t
because she ended up with a nose that still didn’t fit. Her bridge was too
wide and a little high throughout. Her tip was a little full and droopy,
making her nose look too long for her face. Her Profiles revision centered
around correcting these issues along with some residual asymmetries to
produce a change that is at once both defined and feminine. Her new
nose suits her features so well that her eyes just jump off the page in the
after photo.
*Results May Vary
*Results May Vary
Case 8: Despite previous surgery, this woman’s nose remained crooked,
overprojected, hanging, and collapsing in the mid-vault. A tip cartilage
overlay was performed to deproject her tip and correct the hanging
columella and excess nostril show. In addition, the bones were
smoothened and brought together, and the valve collapse was repaired.
Her new nose now suits her features much better, allowing them to really
shine through while her nose goes unnoticed.
*Results May Vary
*Results May Vary
Case 9: This patient had severe tip bossae (knuckling) and irregularities
along the bridge of her nose from a previous rhinoplasty along with
significant breathing difficulty. She wanted her nose to be smooth and
natural looking without being obvious that she’d had a rhinoplasty.
Revision in her case required use of rib cartilage for support. In these six
month photos, there’s still a little swelling but her goals have clearly been
accomplished and she couldn’t be happier.
*Results May Vary
*Results May Vary
Case 10: Previous rhinoplasty had left this patient with an unstable,
droopy tip and mid-vault collapse with breathing problems. Correction of
these issues required tip reconstruction, bilateral spreader grafts, and a
graft over her bridge for smoothening of her bridge line. And, if the
revision rhinoplasty alone weren’t enough to make her look younger, an
upper lid blepharoplasty removed some of the extra skin above her eyes
to further brighten and soften her look.
*Results May Vary
*Results May Vary
Case 11: This patient had had a previous rhinoplasty but felt her tip was
still bulbous and undefined. Creating real structure in combination with
effective management of skin thickness allowed her to achieve real
definition. At the same time, a mini face and neck lift was able to
substantially improve neck and lower face laxity with enhancement of
cheek volume and skin draping.
*Results May Vary
*Results May Vary
Case 13: In this patient, an existing rib graft over the nasal bridge was
left alone. Even though it was a little crooked, she was more bothered by
her tip and so, surgery was limited to correction of the tip asymmetry.
This required additional irradiated donor rib cartilage grafting to increase
length and help repair the tip collapse on the left. Reprojection and
definition of the tip improved the overall nasal contour.
*Results May Vary
*Results May Vary
Case 14: Revision rhinoplasty comes in all forms. In this case, over-
reduction of the nasal bridge without proper tip adjustment, had created a
pollybeak appearance. By re-supporting and defining the tip a more
refined, natural appearance can be created. A subtle narrowing of the
nostril flare helped put the finishing touches while still preserving the
natural alar contours.
*Results May Vary
*Results May Vary
Case 15: 30 year old had previous surgery which left her crooked, unable
to breathe and with a droopy tip. Revision surgery straightened her nose,
corrected her breathing and restored a natural nose.
*Results May Vary
*Results May Vary
Case 18: This beautiful former model suffered tip collapse and a septal
perforation following previous septoplasty done elsewhere. After being
told she couldn’t be helped by a number of other plastic surgeons, at
PROFILES we proceeded to tailor a revision rhinoplasty that restored her
tip to its natural height that balanced her elegant tall frame.
*Results May Vary
*Results May Vary
Case 19: This one we title, “It’s never too late!” Rhinoplasty done many
years ago had resulted in progressive nasal twisting and collapse over
time for this young woman. She had often thought of fixing it but was
afraid of another disappointment. Her PROFILES Beverly Hills Revision
Rhinoplasty not only completely restored a beautiful, natural look, but she
came in excited to tell us that after so many years she could finally smell
Challah bread again.
*Results May Vary
*Results May Vary
Case 18: This beautiful former model suffered tip collapse and a septal
perforation following previous septoplasty done elsewhere. After being
told she couldn’t be helped by a number of other plastic surgeons, at
PROFILES we proceeded to tailor a revision rhinoplasty that restored her
tip to its natural height that balanced her elegant tall frame.
*Results May Vary
*Results May Vary
Case 19: This one we title, “It’s never too late!” Rhinoplasty done many
years ago had resulted in progressive nasal twisting and collapse over
time for this young woman. She had often thought of fixing it but was
afraid of another disappointment. Her PROFILES Beverly Hills Revision
Rhinoplasty not only completely restored a beautiful, natural look, but she
came in excited to tell us that after so many years she could finally smell
Challah bread again.
*Results May Vary
*Results May Vary
Case 20: Injuries or fractures of the nose can lead not only to a crooked
appearance but also to loss of tip support and severely compromised
breathing. Functional rhinoplasty in these cases focuses on identifying
and correcting all causes of nasal asymmetry while restoring support to
the tip and mid-vault (middle part of the nose) so that the nose not only
functions well but looks good too.
*Results May Vary
*Results May Vary
Case 21: A high deviation of the septum caused this patient to have a
failed previous attempt at straightening done elsewhere. These are more
challenging cases to get straight and this young woman required a septal
reconstruction with grafting in order to re-support her bridge and tip.
Reduction of rounding and tip drop helped to complete the aesthetic
improvements.
*Results May Vary
*Results May Vary
Case 22: After multiple nasal fractures, corrective surgery elsewhere had
failed to repair this young woman’s collapse and breathing issues. At the
same time, trimming of her tip cartilages had caused knuckling and
irregularities on her bottom view. Reprojection of her tip was important to
creating a straight profile. While she is still swollen in these after photos,
improvements in contour can already be seen and even greater definition
will be seen with time.
*Results May Vary
*Results May Vary
Case 23: This patient had a previous nasal fracture with a hump and
breathing difficulty. Her functional obstruction was addressed along with
straightening of her profile and finesse tip refinement. Improvements in
contour can be seen even with the little bit of tip swelling.
*Results May Vary
*Results May Vary
Case 24: This young lady had 2 previous surgeries which had resulted in
an overly shortened nose full of scar and breathing problems. He ? views
show an amazing transformative change in tip definition and increased
length along with her significantly improved breathing.
*Results May Vary
*Results May Vary
Case 25: Ethnic rhinoplasty or Hispanic rhinoplasty when not done
properly can result long term in an overly-shortened, scooped out,
pinched, upturned nose that is emasculating and, perhaps most
importantly, results in near total nasal obstruction. Los Angeles Revision
Rhinoplasty can restore breathing as well as a natural, appearing
masculine nose even in thick skinned, ethnic patients.
*Results May Vary
*Results May Vary
Case 26: This young woman suffered a serious nasal and facial injury
from an accident affecting her nose, left eye, and causing multiple facial
scars. Previous surgery had been unable to straighten her nasal
collapse. After reconstructing missing bone and cartilage on her entire
left nasal sidewall, she was able to achieve restoration of nasal symmetry
and much improved breathing. On the base view, you can also see
substantial correction of her columellar scarring.
*Results May Vary
Case 27: This woman had a previous rhinoplasty that left her with a
scarred, undefined nose with very poor support. She was also noticing a
feeling of increasing heaviness of the brows and upper lids that was
making her look older. Revision rhinoplasty at Profiles using irradiated rib
cartilage allowed us to significantly improve her nasal contour by
reducing size and increasing definition while improving breathing at the
same time. A trichophytic brow lift raised her brows to a more youthful
position and opened up her eyes. Note how the incision at the hairline
allows hair to grow through the scar to make the incision completely
inconspicuous.
*Results May Vary
*Results May Vary
Case 28: Typical results of an over-aggressive rhinoplasty can be seen
here wherein the tip cartilages have become more vertical in orientation,
causing a pinched appearance and hanging columella. Revision
rhinoplasty involved tip reconstruction with batten grafts and repair of
valve collapse. The bridge line was also smoothened and straightened.
In addition, bilateral Otoplasty brought his ears into a vertical plane to
make them far less noticeable on front view.
*Results May Vary
Case 29: This patient’s previous rhinoplasty had left her with irregular
nasal bones, nasal valve collapse, and tip bossae leading to significant
tip asymmetry that is seen well on her base view. Correction of these
issues left her with a nose that not only functioned much better but
eliminated the irregularities and asymmetries that brought unwanted
attention to her nose. She’s very pleased with her much more
harmonious nasal profile.
*Results May Vary
*Results May Vary
Case 30: Subtle refinement was the key goal for this patient. A minor
rhinoplasty revision to reduce a slight bump and hook to the profile was
coupled with a mini face lift to correct early jowling with restoration of
neck and jawline definition.
*Results May Vary
*Results May Vary
Case 31: This patient had had a previous rhinoplasty but felt her tip was
still bulbous and undefined. Creating real structure in combination with
effective management of skin thickness allowed her to achieve real
definition. At the same time, a mini face and neck lift was able to
substantially improve neck and lower face laxity with enhancement of
cheek volume and skin draping.
*Results May Vary
*Results May Vary
Case 32: This young woman was unsatisfied with a previous rhinoplasty
result that had left her tip feeling too long and droopy. Vertical
displacement of her tip cartilages were causing her to have a persistently
bulbous tip with excessive columellar show. These six-month revision
photos after tip repositioning and nostril flare reduction reveal a much
more balanced nasal contour that suits her slight features.
*Results May Vary
*Results May Vary
Case 33: A serious injury to the nose had caused this patient to have
severe bone loss and internal valve collapse with pinching of her mid-
vault seen on frontal and three-quarter views. She is now 1.5 years after
repair with bilateral spreader grafts, reconstruction of her septum, minor
tip revision, and soft tissue augmentation of her bridge. She’s had full
functional restoration of her nasal breathing and she couldn’t be happier
with the aesthetic improvement.
*Results May Vary
*Results May Vary
Case 34: Previous rhinoplasty had left this patient’s nose crooked, wide,
droopy and undefined. She wanted a shorter, more elegant, and more
feminine look that matched the rest of her appearance. Revision surgery
involved tip cartilage overlay, bony and tip narrowing, and grafting to
resolve her significant breathing issues as can be seen on the base view.
She’s doing very well after one year is happy to have finally achieved her
goals.
*Results May Vary
*Results May Vary
Case 35: Previous surgery had created an open roof deformity, with
crooked nasal bones, mid-vault collapse and a severely twisted tip with
nostril retraction. She didn’t mind her profile but wanted to be straight and
smooth, and be able to breathe again. We needed rib cartilage to replace
her missing septum, most of her tip cartilage, and to place spreader
grafts to correct her restricted breathing. She now has the nose she
always wanted and is excited that it will stay that way.
*Results May Vary
*Results May Vary
Case 36: This patient had developed a lot of scar tissue after 2 previous
rhinoplasties and felt her nose was too big for her face. She wanted a
much smaller, more feminine nose and preferred a slight slope. She’s
thrilled that her new nose suits her so well and really softens her
features. In these 4-year post-op photos, you can see that the results
really stand the test of time.
*Results May Vary
*Results May Vary
Case 37: Previous rhinoplasty had failed to correct a severely crooked
nose with substantial breathing difficulty. He wanted a nose that was
straighter, smaller, and less irregular. This fantastic change at one year
shows the smoother, more defined look he wanted that fits his features
much more appropriately. He tells us he’s never breathed better and
never felt more confident.
*Results May Vary
*Results May Vary
Case 38: As with many revisions, this patient had experienced partial
nasal collapse, loss of tip support, and formation of scar tissue after
injury and previous rhinoplasty. She wanted to improve her nasal
breathing at the same time as creating a smaller, softer nose. While
there’s still some swelling, you can see her amazing progress in these
early 6-month photos.
*Results May Vary
*Results May Vary
Case 40: Before and After 6 Months.
*Results May Vary
*Results May Vary
Case 41: Before and After 1 Year. With a small chin, this young woman
felt that her nose was taking over her face, bringing undue attention to
her mid-face and making her look more cheek-y. A combination of a
revision rhinoplasty and a chin implant helped to restore a beautiful
balance to her features. She couldn’t be happier with the result.
*Results May Vary
*Results May Vary
Case 42: Before and After 6 Months. Previous rhinoplasty had failed to
correct a severely crooked nose and a droopy tip with substantial
breathing difficulty. He wanted a nose that was straighter and a lifted tip.
This amazing change at 6 months shows the smoother, more defined
look he wanted that fits his features much more appropriately. He tells us
he’s never breathed better and never felt more confident.
*Results May Vary
*Results May Vary