Rhinoplasty
Female patient whose primary goal was to address her profile view. She desired to reduce her hump and expressed her preference to be a slight slope to the bridge on the profile. She desired minimal refinements to the frontal view. Primary rhinoplasty techniques included hump reduction, bilateral osteotomies, bilateral spreader grafts, caudal septal extension graft and tip onlay graft.
Female patient thicker nasal skin and wide tip who desires tip refinement. Open rhinoplasty techniques included nasal tip skin de-fatting, caudal septal extension graft, tip onlay grafts, and alar flare reductions. Base view shown to demonstrate the healing from the columellar incision and nasal base reduction incisions. 6 months post-operative results shown.
Before and after primary rhinoplasty for wide nose with bulbous tip and crooked appearance to the right side. Primary rhinoplasty included osteotomies and bilateral spreader grafts with a “push/ pull” technique to help with the straightening of the nose. Crushed cartilage tip graft for tip refinement.
Patient with concerns of a droopy tip, hanging columella, and hump. Primary rhinoplasty techniques included hump reduction, osteotomies, caudal septal extension graft and tip onlay graft.
Dr. Bared describes his technique on a female patient whose primary concerns were the width of her nose and bulbous tip from the front view. She was noted to have thicker nasal skin and vertically oriented nasal tip cartilages. In order to refine the tip significantly given her thick skin and adhere to natural-appearing results, her tip cartilages were re-positioned using lateral crural strut grafts. Other techniques employed include open rhinoplasty approach, bilateral osteotomies, caudal septal extension graft, and tip onlay graft.
Female, African American patient who desired refinement to her nose. Her main concerns included her bulbous tip and the flare of the base of her nose. Primary rhinoplasty techniques included osteotomies, caudal septal extension graft for tip support, tip graft, and alar flare reductions.
African American female patient who desired to refine her bridge and the tip of her nose as well as reduce her nostril flare. Primary open rhinoplasty techniques included osteotomies, caudal septal extension graft for nasal tip support, tip onlay grafts, and alar base reductions. Seen here with a 10 month follow up with narrowed bridge and tip. Tip elation on the profile view and nostril flare reduction on the base view.
Primary rhinoplasty of an African American male. Patient desired refinements to his nose while preserving his ethnic features. A primary rhinoplasty was performed which entailed a tip shield graft to refine his tip, alar base reductions to narrow his nostrils, and a radix graft to straighten his hump on the profile view. Note that his hump was not reduced. Rather the radix (where the nose meets the forehead) was raised. This allowed for the simultaneous alignment of his profile and the narrowing of his bridge on the frontal view. This is a key maneuver to create narrowing of the bridge. If the dorsum would have been lowered his bridge would have resulted in being wider. Base view included to demonstrate the narrowing of the tip and the width of the base. The base width narrowing was accomplished in a significant but not overly aggressive manner to preserve a natural appearing result. Note the well-healed alar base reductions scars along the outside of his nostrils. He is seen here on his 3 month post-op results.
Primary rhinoplasty and chin implant for a patient with very thin skin whose concerns included over-projection of her nose. Techniques included hump reduction, bilateral spreader grafts with double spreader grafts on the left side to address her bridge. Tip setback using caudal septal extension graft and onlay grafts. Medium, silastic chin implant was also placed to balance her profile.
Patient presented with complaints of large, over-projected nose, a large hump as well as nasal breathing difficulty. Primary rhinoplasty was performed with septoplasty, hump reduction, and spreader grafts. A ‘toungue-in-groove’ technique was utilized for tip support whereby his tip cartilages were set back onto his septum. This technique allows for long term tip support as well as for the decrease in projection of the tip. A chin implant was also placed to for profile alignment. Seen here are his 9 month post-operative results.
Female patient who complained of an over-projected and long nose on the profile and a bulbous tip on the front view. She was noted to have an over-projected bridge with vertically-oriented nasal tip cartilages. The vertical orientation of the nasal tip cartilages made for a longer nose on the profile view with a droopy tip. The vertical orientation of the tip cartilages also provided for the bulbous appearance to the tip on the frontal view. Primary open rhinoplasty techniques entailed the de-projection of the nose. Nasal tip cartilages were re-positioned in a more horizontal direction which allowed for the simultaneous refinement to the tip while preserving tip function and natural-appearing tip aesthetics. Caudal septal extension graft with lateral crural strut grafts were used to re-position the tip cartilages and maintain the tip’s structural integrity. Base view also included to demonstrate tip de-projection while maintaining a natural, pyramidal tip shape.
Dr. Anthony Bared, M.D., F.A.C.S. demonstrates the results of a revision rhinoplasty in a male patient with a low bridge and droopy tip. Dr. Bared discusses the use of temporalis fascia to raise an overly removed bridge and tip re-positioning to address the droopy and bulbous tip.
Miami Facial Plastic Surgeon, Dr. Anthony Bared, M.D., F.A.C.S., demonstrates long term results of a rhinoplasty and chin implant. Chin implants can help to balance the profile and can be a nice combination with a rhinoplasty. This patient’s long term results are shown after a rhinoplasty to reduce the nose and a chin implant to help balance the profile.
Facial plastic surgeon, Dr. Anthony Bared, M.D., F.A.C.S., demonstrates the results of a rhinoplasty for a patient with a hump and droopy tip. The techniques employed involved the lengthening of the columella. The nose was also narrowed from the frontal view.
Facial plastic surgeon, Dr. Anthony Bared, MD, FACS, describes his techniques and demonstrates results on a complicated rhinoplasty for a patient with a crooked nose, droopy tip, and thick nasal skin.
Facial Plastic Surgeon, Dr. Anthony Bared, discusses revision rhinoplasty techniques for a patient with a pointy and over-projected nasal tip and a narrow nose.
Facial plastic surgeon Dr. Bared describes his technique on a revision rhinoplasty to improve a crooked nose and nostril asymmetry.
Dr. Bared describes a case of rhinoplasty for a patient with a crooked nose from sports-related injuries and a dorsal hump.
Dr. Bared describes his technique for a patient who underwent a revision rhinoplasty for a severely upturned nose.
Dr. Bared describes his technique for a patient with a hanging columella and flared nostrils.
Dr. Bared describes his treatment for a patient with an over projected nose and dorsal hump.
Dr. Anthony Bared reviews revision rhinoplasty surgery. This patient came to Dr. Bared with a concern regarding a droop in the tip of her nose as well as lack of definition at the bridge of her nose.
Dr. Bared is shown here meeting post-op with a female patient to review a rhinoplasty which was intended to fix her over projected nose.
Miami Rhinoplasty Specialist, Dr. Anthony Bared is with patient who is 2.5 months post-op of a rhinoplasty procedure.
Miami Facial Plastic Surgeon, Dr. Anthony Bared is with a 1 week post-op rhinoplasty patient who wanted to correct her nasal deviation and improve further refinements to the tip of the nose.
Miami Facial Plastic Surgeon, Dr. Anthony Bared is with a female patient who he performed a challenging revision rhinoplasty procedure on to help improve her fore shortened nose from a previous rhinoplasty.
Miami Facial Plastic Surgeon, Dr. Anthony Bared is with a female patient (1 week post-op) who he performed a complex rib revision rhinoplasty to help improve her complications from previous performed surgeries.
Miami Facial Plastic Surgeon, Dr. Anthony Bared is with a female patient who he performed a rhinoplasty and septoplasty to improve breathing and the overall appearance of the nose.
Miami Facial Plastic Surgeon, Dr. Anthony Bared is with a female patient who he performed a rib revision rhinoplasty to improve previous procedures she had in the past.
