Hispanic Rhinoplasty

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

Patient BeforePatient After
Patient BeforePatient After

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.

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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.

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.

Patient BeforePatient After
Patient BeforePatient After

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.

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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.

Patient BeforePatient After
Patient BeforePatient After

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.

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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.

Patient BeforePatient After
Patient BeforePatient After

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.

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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.

Patient BeforePatient After
Patient BeforePatient After
Patient BeforePatient After

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.

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Patient BeforePatient After
Patient BeforePatient After
Patient BeforePatient After
Patient BeforePatient After

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.

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Patient BeforePatient After
Patient BeforePatient After
Patient BeforePatient After

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.

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Patient BeforePatient After
Patient BeforePatient After

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.

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Patient BeforePatient After
Patient BeforePatient After
Patient BeforePatient After

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.

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Patient BeforePatient After
Patient BeforePatient After
Patient BeforePatient After

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.

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Patient BeforePatient After
Patient BeforePatient After

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.

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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.

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UIC UM Medicine Vanderbilt University American Board of Otolaryngology Realself Hall of Fame Real Self Top Doctor American Academy of Facial Plastic and Reconstructive Surgery, Inc Alpha Omega Alpha Honor Medical Society American Academy of Cosmetic Surgery Fellow American Board of facial Plastic and Reconstructive Surgery Phi Beta Kappa

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