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Liz’s Rhinoplasty

Patient Experience

Preoperative Diagnosis: Nasal obstruction secondary to internal and external nasal valve collapse; turbinate hypertrophy.

Procedure: Tertiary revision open rhinoplasty, septoplasty and bilateral turbinoplasty.

Findings: Right alar vertical onlay graft causing fullness in right alar region; asymmetric curved medial crura (right longer than left) with right higher dome; over-projected, over-rotated infratip lobule; narrow rims right greater than left; soft tissue deficit right greater than left; narrow right middle vault and depressed right lateral nasal wall; spur and caudal deviation of septum to left; narrow lateral crura with scar tissue build up.

Comments: She is still swollen in these 3 month post-op photos, but they reveal a softer nasal appearance.  Her breathing has improved.  She is still healing and the swelling will continue to improve.

Patient-163

Patient Testimonial

Liz: So it’s less than 24 hours before my surgery. I haven’t had my nose done in eight years. So I’m excited for Dr. Nassif to fix it. I’ve seen his work and I really think he’s the one that’s going to be able to do the job. My trust is in his hands and I really am looking forward to taking off the bandages next week and being happy with what I see for once. So, here we go.

[At Dr. Nassif's office]

Liz: The first time the doctor made my tip too narrow and I didn’t look like myself. And then the second time, the doctor made my tip too wide and then actually took out extra bone out of the side of my nose that didn’t need to be taken out. My initial consultation with Dr. Nassif, it was really caring and thorough, and he went over everything and he treated me like I was his daughter.

Septoplasty: Septoplasty is a surgical procedure used correct the shape of the septum due to defects or deformities. The nasal septum is the separation between the nostrils. Septoplasty may be performed during a rhinoplasty procedure. When performed together, this is referred to septorhinoplasty.
Turbinoplasty: There are three turbinates in each nasal pasage. Each one protrudes from the sidewall of the nose. The lower or inferior turbinate is by far the largest of the three. Turbinates are shaped like a scroll, and act to warm, air before it passes on to your throat. Throughout the day, the turbinates periodicallychange size in a pattern known as the nasal cycle. That’s why at any given time, a person can usually breathe better out of one side the other. Turbino plasty is the operation performed to reduce the size of the turbinate. Usually, only the inferior turbinates need correction.
Closed (Endonasal) Rhinoplasty: Rhinoplasty decribes an array of operative techniques that can be used to alter the aesthetic and functional properties of the nose. Surgical access to the nose can be gained via incisions placed inside the nose (endonasal approaches) or via incisions placed inside the nose combined with incisions placed outside the nostrils (external approach), usually on the collumella, Prior to the incresed popularity of the external (open) rhinoplasty approach in the last decade, the terms rhinoplasty and endonasal rhinoplasty were almost synonymous.