Primary Rhinoplasty Case #1770

This is very pleasant, 54-year old female who presented for a primary rhinoplasty. She was bothered by the size of her nose for years and wanted a noticeable, but natural result. A primary open septorhinoplasty was recommended. The large tip cartilages were flattened and reduced in size, the profile smoothed, and the rotation improved. At 8 months post-operative, her breathing is great and she is thrilled with her natural result.

1. Notice the very convex (bulbous) tip cartilages in the pre-operative photo. After, the tip is more slender with flattened cartilages and better definition.
2. The bulbous tip is evident in the before photo. The after photo demonstrates a refined tip with more elegance and rotation.
3. The overall size of the tip is reduced, the profile smoothed, and the rotation improved.
4. This view highlights the boxy and bulbous appearance to the nose. Afterwards, the nose has more of a tripod shape with good balance. The incision is unnoticeable on the columella.

• Patient #: 1770
• Gender: Female
• Ethnicity: Caucasian
• Age: 51 - 60
• Specialist: David Kowalczyk, M.D.
• Procedure: Primary Rhinoplasty