Mark Markarian, MD, MSPH, FACS
Wellesley, MA
Rhinoplasty | Case Details
I'm happy to share this young woman's 2 year results following a Revision Rhinoplasty and Septoplasty. The nose is narrowed overall but a natural, non-pinched, result is maintained. A subtle dorsal hump reduction and tip refinement were also performed. People always ask about the recovery time following a Rhinoplasty. It takes time for the swelling to come down and so I always try to share the immediate postop photos from the operating room (OR) with my patients to allow them to get an idea of their final results and have something to look forward to while the swelling improves over time. The OR photos are in the last pic and you can see how similar they are to the long term results... 75% of the swelling comes down after a month while the rest takes a year to a year and half. To accelerate the swelling resolution, I see patients in the office every 2-3 months for steroid injections to the nose, especially the tip, to further help with recovery time... Full views of this patient's final results are shown. Also notice how the tip stays in the good position even when smiling. Please look at the scar from the "worm's eye" view (taken from below the patient). I always try to create a surgical scar that is almost invisible. The overall goal is to always maintain a natural result... The standard key maneuvers included a component hump reduction, reverse angulated caudal septal trim, and tip deprojection. Multiple grafts were used including a columellar strut graft, spreader grafts, alar contour grafts, and a mastoid fascia tip graft. All this was done to help provide long-term stability and structure to maintain the aesthetic and functional goals...
Age: 25
Location of Incision: open/columelar
Components of Procedure: Septoplasty with resection of cartilage
Years between operation and 'after' photos: 2