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Rhinoplastytoronto.ca - A Resource for Patient Information Provided by Richard Rival, MD, FRCS

Rhinoplasty Case 55

Before After

Before Rhinoplasty


After Rhinoplasty

Before Rhinoplasty After Rhinoplasty

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Before Rhinoplasty After Rhinoplasty

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Before Rhinoplasty After Rhinoplasty

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Procedures Performed

  • Rhinoplasty

Rhinoplasty Case

This young woman particularly disliked the shape and size of the tip of her nose.  She felt it was too large and bulbous.  She was noted to have very thick skin with large deep pores.  This often limits how much change a rhinoplasty surgeon can acheive as the thick skin covers up the refinements made by the plastic surgeon to the nasal framework.  She underwent an external approach septorhinoplasty.  Aggresive changes were made to underlying nasal framework in order for the the change to be visible through her thick skin.  One can see that the tip is narraower and more defined.  From below the tip now has a more attractive triangular shape.  Form the side view the tip seems to be slightly more projected.  This is necessary in order to acheive the definition seen from the front.  Dr Rival believes the frontal view is always the most important view when reconstructing a nose.  This patient also had alar base reduction or narrowing.  A wedge of skin is taken from the sides of the nostrils and is then resutured.  This effectively narrows the nostrils or the alar base of the nose in medical terms.  The incisions from nostril narrowing generally heal very well.  Patients with darker skin often worry about the risk of keloid scars ( dark thick scars)however these are extremely rare in this area
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