Ethnic Rhinoplasty
Before and after rhinoplasty for a Hispanic female with concerns about the width of her bridge and tip. Refinements included tip and bridge support with ear cartilage, avoiding the use of implants in the nose.
Patient felt she had a low bridge, wide tip, and nostril flare and sought refinements to these areas. Rhinoplasty techniques included bridge augmentation with diced cartilage, tip graft, and altar base reductions.
Before and after rhinoplasty for a patient who desired to raise and narrow her nasal bridge, refine her tip, and reduce the flare of the base of the nose. Rhinoplasty techniques included dorsal augmentation, bilateral osteotomies, caudal septal support, tip skin de-fatting, tip graft, and alar base reductions.
Female patient of Asian descent who desired more bridge and tip definition. Primary rhinoplasty techniques included dorsal augmentation, tip grafting, and alar base reductions.
Female patient seeking to better define her bridge and reduce the width of her nose. Rhinoplasty techniques included bridge augmentation with ear cartilage, tip support with tip graft, and alar base reductions.
Dr. Bared describes his techniques to refine the tip and narrow the bridge in a female Hispanic patient
Dr. Bared explains his techniques for a Hispanic female patient who presented with a droopy tip because of a hidden columella
Dr. Bared describes his techniques for the raising of the bridge, alar base reduction, and tip refinement to provide for narrowing of the nose with natural appearing results.
Hispanic female patient seeking to refine the appearance of her nose. She was bothered by the flare of her nostrils, the droopiness of her tip, and the bump on her profile. Primary rhinoplasty techniques included nostril flare reduction, tip support with caudal septal extension graft, tip graft, osteotomies, hump reduction, and soft tissue radix graft. Shown are her 1 year post-operative results.
Dr. Bared describes his techniques and reviews 1 year post-op results for a Hispanic female patient who was seeking to reduce her nostril flare, elevate her tip, and straighten the bridge of her nose.
Female African American patient who desired to reduce the width and refine her bridge, reduce the width of the flare of the base of the nose, and refine the tip of her nose.
Rhinoplasty techniques included tip support with caudal septal extensions graft, tip graft, alar base reductions, and dorsal refinement and elevation with diced auricular cartilage.
African American patient who sent in her photos 1 year post-op after primary rhinoplasty. Primary rhinoplasty techniques included the refinement of the tip and bridge. Alar base reductions were performed to narrow her nasal base and reduce her nostril flare.
Dr. Anthony Bared, rhinoplasty specialize in Miamim FL, shares his approach to ethnic rhinoplasty and how he achieves the desired end look for his patients.
Dr. Bared describes his techniques for the refinements in a patient with a very low nasal bridge using her own, natural cartilage and avoiding the use of an artificial implant in the nose.
Challenging case of a female, Hispanic patient with thick nasal skin and very low nasal bridge. In order to create more refinements to her nose, dorsal augmentation was performed using ear cartilage graft to avoid the use of an artificial nasal implant. Tip graft was utilized to support and refine the nasal tip. To create narrowing to the front of the nose in patients with thick skin, projection needs to be undertaken on the profile of the nose.
Patient who desired improving the aesthetic appearance of her nasal tip She felt her tip was too wide and bulbous. She also desired to raise the tip so as not to appear droopy from the profile view. Primary rhinoplasty techniques included the repositioning of the tip cartilages, the elevation and support of the tip with a caudal septal extension graft, and further tip refinement with an onlay graft.
Dr. Bared describes his techniques in a female patient with a hump and a very low radix to provide for the most natural appearing profile after surgery and prevent an operated appearance.
Female patient seeking refinement to her nose. She was most bothered by the appearance of the profile of her nose. Primary rhinoplasty techniques utilized included bilateral osteotomies, hump reduction, soft tissue radix augmentation, caudal septal extension graft, tip de-fatting, and tip onlay graft.
Female patient seeking refinements to her nose. She desired to improve the droopy appearance of her tip from the profile view and refine the bridge and base of the nose. Before and after photos show the support provided to the tip and the refinements to the bridge and the base of the nose. Rhinoplasty techniques included bilateral osteotomies, nasal tip skin de-fatting, alar base reductions, and tip support with caudal septal extension graft and onlay grafts.
Dr. Anthony Bared, MD, FACS presents his techniques for a female Hispanic patient looking to straighten her nose, refine her tip, and reduce the hump of her profile.
Female, Hispanic patient who desired to refine her nose by straightening the nose, refining the tip, and reducing the hump on the profile view. Primary rhinoplasty techniques included bilateral osteotomies, tip nasal skin de-fatting techniques, bilateral spreader grafts, septoplasty, caudal septal extension graft, and tip onlay graft.
Revision rhinoplasty for a patient who had undergone a previous rhinoplasty and desired to raise and narrow her bridge as well as create refinements to the nose. Revision rhinoplasty techniques included the raising of the bridge and the narrowing of the bridge with diced ear cartilage and temporalis fascia graft to avoid the placement of an implant in the nose. Tip support was created with a caudal septal extension graft and tip graft.
Female patient who desired refinements to her nose. She desired to have a more elevated bridge, a narrowed tip and narrowing of the nasal base. Primary rhinoplasty techniques included bridge augmentation with diced auricular cartilage and temporalis fascia, tip onlay graft and alar base reductions.
Challenging case of a female patient with very thick nasal skin who desired refinements to the nose. Her rhinoplasty techniques included an open approach, nasal skin de-fatting, radix graft, bilateral osteotomies, caudal septal extension graft for tip support, tip onlay grafts, and alar base reductions.
Facial plastic surgeon, Dr. Anthony Bared, MD, FACS, describes his techniques for a female Hispanic patient who desired to decrease the projection of her tip and bridge from the profile while preserving very natural appearing results from the frontal view of the nose.
Asian female patient who desired to have refinements to her tip and bridge. The bridge was refined by narrowing and raising the bridge of her nose. Bridge refinement was achieved with osteotomies and augmentation using temporalis fascia and diced cartilage grafting. The tip was narrowed and refined using a tip graft.
Female who desired nasal refinements to her bridge and tip. Her goals were narrowing of the bridge on the frontal view and refinement to the tip on the frontal view. On her profile she desired to reduce the hump and the droopy tip. Open rhinoplasty techniques included osteotomies, bilateral spreader grafts, hump reduction, caudal septal extension graft, and tip onlay grafts.
Before and after primary rhinoplasty on a female patient with the primary complaint of the over-projection of her bridge. Primary rhinoplasty techniques included hump reduction, osteotomies, bilateral spreader grafts, and caudal septal extension graft for tip support.
Patient who desired an overall thinner nose from the front and tip elevation on the profile view. Challenging case with very wide nasal bones and tip cartilages with thick nasal skin. Primary open rhinoplasty techniques included both medial and lateral osteotomies for maximal nasal bone narrowing. The tip cartilages were repositioned with placement of lateral crural strut grafts and tip onlay grafts. The tip cartilages were re-oriented to provide for narrowing of the tip while preserving a natural tip appearance given the orginal ultra wide tip cartilage orientation. Base view of the nose shows the boxy tip cartilage prior to surgery. Tip support with caudal septal extension graft. She is seen 6 months post-op.
Challenging case of Hispanic rhinoplasty of a patient with very thick nasal skin and a wide nose. Primary rhinoplasty techniques included bilateral osteotomies, defatting of the nasal skin, tip onlay grafts, and alar flare reduction incisions. Techniques performed to provide for narrowing of the nose while preserving a natural appearing outcome. Alar flare reductions allow for the narrowing and the thinning of the base of the nose while maintaining the nostril size the same. In this case, her nostril size were small but the nasal flare was wide.
Before and after primary rhinoplasty for a patient who desired to reduce the length of her profile and refine her tip. She desired to reduce her hump and the droopy appearance of her tip on the profile view. Primary rhinoplasty techniques included hump reduction, bilateral osteotomies, bilateral spreader grafts, septal extension graft, and alar rim grafts. The columella was lengthened to improve the tip angle and the relationship between the alae and the columella. Prior to surgery she had what is referred to as a “hidden columella” where the nostrils hang below the level of the columella on the profile view. By lengthening the columella, the relation of the columella and the nostrils is improved which also addresses her concern of a droopy tip.
Seen here are her 10 month follow up photos.
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.
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.
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.
