Rhinoplasty surgery of the nose Septorhinoplasty for Nasal Obstruction and Reduction of Nose (Rhinoplasty - Surgery of the Nose)

Exploring rhinoplasty, nasal surgery, sculpture of the nose anatomy details by Dr. Michael Bermant, MD plastic cosmetic surgery.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

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Nasal Obstruction and Reduction of Nose

Nasal obstruction can become more severe when reducing the size of the nose.

41 year old male who said he did not like his nasal shape and had difficulty breathing through his nose. He had thick skin and poor tip support.

Location surgery:
Hospital operating room

Anesthesia:
Local with Light General

Packing
None

Splint
External Thermoplastic
Silicone Septal Splint

Technique

  • Open rhinoplasty
  • Submucous resection and septoplasty
  • Reduction hump and size of nose
  • Spreader grafts
  • Tip supporting graft to columella
  • Nasal tip cartilage sculpture
  • Alar wedge nostril reduction
  • Release tethered upper lip
Pictures before reduction rhinoplasty decreasing size of nose. Pictures after reduction rhinoplasty decreasing size of nose.

This patient did not like his large nose before surgery. The nose did not fit his face. Rhinoplasty reduction resulted in a balanced nose with harmony among the nasal elements.

Notice how the lowering of the nose relaxed the tension on the upper lip skin.

Reduction of the nose can narrow airway passages worsening nasal obstruction. A careful septoplasty and spreader grafts opened his airway despite the reduction.

Although the side views are the most dramatic, look at the nasal reduction from various angles.

Pictures before reduction rhinoplasty for large nasal hump. Pictures after reduction rhinoplasty for large nasal hump.

Patient before Rhinoplasty Nasal Surgery Pictures

Patient 2 Years 3 Months after Rhinoplasty Pictures

Before reduction rhinoplasty pictures and lowering of dorsum. After reduction rhinoplasty pictures and lowering of dorsum.

Before surgery, the nasal tip was large. From the front, the tip is in better harmony with the nose after surgery. Follow the line from the brows to the nasal tip. Before surgery, the bulbous tip does not look as natural as the after surgery view. Rhinoplasty surgery should not make the nose look unnatural.

Patient before Rhinoplasty Nasal Surgery Pictures

Patient 2 Years 3 Months after Rhinoplasty Pictures

Pictures before decrease in nasal size. Pictures after rhinoplasty to decrease nasal size.

The nostrils do not flare as wide after surgery. Reduction of the nostrils was necessary to retain balance between the elements of the nose. Notice the columella where the scar has evolved after open rhinoplasty.

Patient before Rhinoplasty Nasal Surgery Pictures

Patient 2 Years 3 Months after Rhinoplasty Pictures

More detail about this patient's rhinoplasty

rhinoplasty or nose job Next rhinoplasty

Rhinoplasty Nasal Surgery Important Information

Learn more about rhinoplasty surgery of the nose

Open Rhinoplasty - Photographic details during surgery of the Black nose (warning graphic pictures).

Open Rhinoplasty - Pictures of dorsal and tip sculpture during surgery (warning graphic photographs)

Patient Pictures before and after surgery

Rhinoplasty Experiences Discussions, Forum, and Chat

Nasal Obstruction Septoplasty and Other Nose Discussion Groups, Forum, and Chat

rhinoplasty before nose job before before rhinoplasty nose rhinoplasty before septorhinoplasty before rhinoplasty before before rhinoplasty and septoplasty before septorhinoplasty
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nose job before rhinoplasty before rhinoplasty female before before rhinoplasty rhinoplasty before before rhinoplasty before rhinoplasty
nose job after rhinoplasty after rhinoplasty female after after rhinoplasty rhinoplasty after after rhinoplasty after rhinoplasty

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This page last updated on: April 21, 2012

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