Rhinoplasty Before and After

This patient had a fractured nose tilting to the right w/ an obstruction of the left airway. World renowned plastic surgeon Dr. BYUN included a septoplasty and turbinate reduction since the inside of nose needed to be adjusted as the outside shape changes. A very important concept of rhinoplasty procedures that Dr. BYUN emphasizes is that in order to change the shape of a pyramid, all the walls of nasal area needs to be touched. That also includes what’s inside the nose.

Procedures

• Rhinoplasty
• Expansion of airway
• Septoplasty
• Turbinate reduction

All of the above procedures have to be performed in different degrees to suit the individual in order to achieve the natural but appealing look. The large number of steps/procedures shows the complexity of a successful rhinoplasty. It is a marriage between functional techniques and aesthetic techniques. It is critical that your plastic surgeon is skilled at both; he has to be a superb technician and an extraoridinary artist. With these two qualities, he can be the ideal plastic surgeon for you.

In the case of this 36-year-old male, the patient was unhappy with the shape of his nose. He felt that his nose was too big and he did not like the downward tilt of the nasal tip. This downward tilt was more prominent when the patient smiled. In addition to the aesthetic changes, due to an unknown injury from the past, the patient had a chronic airway obstruction where his nasal bone swung to the left.

This patient’s surgery was very complex as a result of the desired aesthetic changes and the medical need to open the airway passages. In order to meet the patient’s aesthetic desires, Dr. BYUN had to address both the static and dynamic components of the patient’s nose. In other words, there are static components such as the dorsal area, nostril, and drooping tip. Also, there is a dynamic component where the nasal tip drooped further when the patient smiled.

Dr. BYUN is one of only a few surgeons who can perform the procedure without cutting the base of the nose (columella). Other surgeons cut the columella and lift the skin off to work on the nose. This causes prolonged swelling and recovery time. Instead, Dr. BYUN does the surgery Endonasally. A small cut is made inside of your nostril and surgery is done within the nose. As a result of performing the surgery Endonasally, Dr. BYUN can hide all incisions and sutures.

As you can see, the results of the Rhinoplasty procedure are dramatic but still looks very natural. The patient is very happy with the end result.

Procedures

• Closed Technique, Not Open.
• Reduction of tip, correction of malrotated lower lateral cartilage.
• Reduction of nasal hump.
• Lifting of tip with strut graft (The frontal view shows that the nostril opening is not pulled up. Nostrils that are pulled up will result in an appearance of a “pig” nose and is a sign of a bad rhinoplasty.
• Nostril diameter reduction. There is no visible scar from the outside (Modified Wier Excision).
• Narrowing of nasal bone using fenestrated osteotomy technique.
• Columella lift to reduce the hanging tip appearance (The medial crura of the lower lateral cartilage that runs down to the bridge in between the nostril and the tip is shaved.
• Partial resection of levator alaqui that controls nostril flarring as one smiles.
• Cephaic trim of lower lateral cartilage to narrow the tip.
• Septoplasty to increase the room for air flow.
• Spreader graft to the space between the septal midline where it meets the mid part of nose at the upper lateral cartilage.
• Inferior turbinectomy to increase the air way flow (The Supra/Superior turbinectomy was not done because it can cause the CFS leak).
• Polyp removal if any.
• Spinous process of ethmoid bone spur resection to widen the airway at the bottom part of inside nostril.

This patient was unhappy with his wide nose, with a “drooping” tip. Plastic surgery expert Dr. BYUN was able to repair these concerns, giving the patient a nose that suits his face best, and most importantly gave him his confidence back! Dr. BYUN always educates his patients on the reasons why they should only get one rhinoplasty surgery in their life time (for a cosmetic reasons). For example, Michael Jackson sadly lost the tip of his nose due to multiple cosmetic surgeries. This happened because his cartilage and the skin lost vascularity. Dr. BYUN always uses a closed technique. Very few rhinoplasty masters approach the nose without cutting the skin outside. Due to Dr. BYUN’s level of skill and mastery, this surgery is done from the inside of nose, utilizing a small endoscope. This guarantees that there is no visible scar at the base of the nose (columella). This creates less scaring overall, and no step off deformities. This technique also ensures that there is a less collapse of cartilage 10-20 years post op.

Procedures

• Tip Rhinoplasty
• Lower Lateral Cartilage Reduction
• Rotation of Malpositioned Lower Lateral Cartilage

Lateral View- Smaller Nostril shown Post-Op

• Alar Rim Batten Cartilage Graft

This patient was seeking change of her nasal tip. Dr. BYUN was able to consult with her, coming up with a nose that flowed more naturally with her facial features. As a world class rhinoplasty expert, Dr. BYUN always emphasizes the following: a great rhinoplasty is when the nose becomes part of your face. Your new nose should disappear into your pretty face!  

Procedures

• Rhinoplasty to reduce nasal asymmetry

This patient was unhappy with the elongated tip of her nose. Going to trusted plastic surgeon Dr. BYUN, they were able to work as a team and discuss the perfect plan for her procedure. This includes determining the shape, and technique that will be used. Dr. BYUN will always use a closed technique, which will not leave scars, and will make sure your cartilage doesn’t collapse years later. It is very important that there should only be one rhinoplasty procedure done for cosmetic reasons. With multiple procedures, you can unfortunately lose the tip of your nose. Your cartilage and the skin can lose vascularity. This is also the reason why you should only go to an extremely skilled, and reputable plastic surgeon.

Procedures

• Rhinoplasty
• Nasal Tip Reduction

This patient had a previous fracture in her nose which created a hump, and pointy tip in the nose. Her cartilage was also collapsed. Innovative plastic surgeon Dr. BYUN was able to reduce these things, and rotate her lateral cartilage downward. With previous fractures, many patients often run in to issues with breathing. Dr. BYUN included a septoplasty and turbinate reduction because the inside of nose needed to be adjusted, just as the outside shape needs to be adjusted. A very important concept of rhinoplasty that Dr. BYUN emphasizes is that in order to change the shape of a pyramid, all the walls of nasal area need to be touched, and that includes what’s in the nose. 

Procedures

• Septoplasty
• Turbinate Reduction
• Nasal Lump and Tip Reduction

Male patient involved in an accident that resulted in a broken nose. Dr. BYUN repaired the fracture and airway, while reshaping the nose to appear straight and sleek.

Photos were taken 2 months after surgery.

Procedures

• Repair of nasal fracture and airway
• Rhinoplasty

Female patient

Procedure was executed by Dr. BYUN without external scarring at the base of the nose using the endonasal approach as opposed to the open-approach, which can result in scarring. Dr. BYUN prefers not to take the open approach in rhinoplasty, which unnecessarily injures the ligaments between the skin and cartilage and results in long-term swelling. If a doctor takes the open-approach route, the tip of the nose becomes rounded and blunted due to the traction.

Photos were taken 14 months post-surgery.

Procedures

• Spreader graft to the left intranasal valve
• Right turbinectomy
• Septoplasty
• Rhinoplasty

This patient came to see expert plastic surgeon Dr. BYUN to change her nasal asymmetry, and “hanging,” malrotation of the lower lateral cartilage. Dr. BYUN was able to create a subtle but impressive change. The best rhinoplasty procedures are when the nose becomes part of your face. Your new nose should disappear into your pretty face. 

Procedures

• Rhinoplasty

This patient was not pleased with the tilted tip of her nose, as well as her overall nasal asymmetry. World class rhinoplasty expert Dr. BYUN was able to repair her nose, using his uncommon closed technique, which requires years of experience and expertise. It is important to only go through one rhinoplasty (for cosmetic reasons) in your life. Patients like this, who are unhappy with the tip of their nose can risk losing it with too many surgeries as the cartilage can collapse.

Procedures

• Rhinoplasty

This patient wanted her nose to fit her facial features better. Experienced plastic surgeon Dr. BYUN was able to perform a dorsal augmentation, and extend the tip of her nose, using her own cartilage.

Procedures

• Increased tip Rhinoplasty
• Dorsal Augmentation

This patient wanted to change the appearance of her nose. Dr. BYUN achieved this by performing a septoplasty, and turbinate reduction. A spreader graft was also used to widen the nose. Repairing the inside of the nose is just as important as repairing the outside. Leading plastic surgeon Dr. BYUN emphasizes this very point: in order to change the shape of a pyramid, all the walls need to be touched. For rhinoplasties, this includes what’s in the nose, and what’s on the outside. This patient also opted to receive a famous BYUN Facelift, Browlift, and Blepharoplasty, as it is usually more convenient for the patient to recover from multiple procedures at once.  

Photos were taken 8½ months post-surgery.

Procedures

• Septoplasty
• Turbinectomy
• Spreader graft
• Brow lift
• Upper Blepharoplasty
• Midface lift