Photo Gallery 》Augmentation Rhinoplasty
Below showed a case before Augmentation Rhinoplasty (left picture) and 1.5 year after AR. L-implant was inserted.
Below showed a case before (left) and after (right) I-shape implantation. The result is natural if using appropriate implant.
Below showed a case after two-pierce Augmentaton Rhinoplasty. Right is picture taken on one year after surgery.
Below showed a case after two-pierce AR. Postoperatively ( lower row) her tip is smooth and natural.
Below showed a case after tip plasty ( tip was enlongated and more projected) with cartilage. Right picture is taken on 4 months after surgery. Tip looks quite natural.
Below case hoped to correct her nostril show and lower dorsum. Left is before picture. Right is after picture. Using two-pierce rhinoplasty concept, tip was elongated to improve nostril show. Dorsum was augmented with silicone.
Below case showed the rsult after two-pierce agumentation rhinoplasty ( right picture). People around her said she is more beautiful.
Below case underwent L-implant insertion for more than 10 years in another clinic. The tip was quite unnatural because of the projected silicone tip. Revision rhionoplasty was performed in my clinic. The silicone on tip was excised. New tip was reconstructed using septal and ear cartilages. After surgery, tip is round and natural.
Below case underwent I-shape silicone implant to augment her dorsum before. Tip was not treated. Later she hoped her dorsum could be higher and bulbous tip could be higher and narrower. She underwent two-pierce rhinoplasty. Dorsum gets higher and tip gets more projected. She is satisfied with the result.
Below is a flat nose case. In first though ( left picture), she only wanted to have her dorsum higher. She underwent augmentation rhinoplasty with I- shape implant (middle picture) . The result was natural. A minor depression (arrow) ,which was the junction of implant with tip tissue , was noted. Later on, she though her tip could be higher and nostril show could be less. She decided to undergo two-pierce rhinoplasty. Right picture showed the result after two-pierce rhinoplasty. If you want a natural higher nose, why should not choose to augment tip and dorsum with two-pierce rhinoplasty in first place?
Below case underwent augmentation rhinoplasty with L-silicone implant. Pointed implant show ( arrow ) was noted on her tip. After revision with two-pierce rhinoplasty, her nose looks natural.
Below case underwent septal surgery to correct her deviated septum before. There is not enough septal cartilage to support her new tip. Rib cartilage was taken to support her new tip. Right picture is the result after two-pierce rhinoplasty ( implant on dorsum and rib and ear cartilage on her tip). Because size of rib cartilage is quite bigger than septal cartilage and the size of septal cartilage which can be taken to support tip is unpredictable, rib cartilge is a better choose to form a new tip in selected cases.
Below case underwent tip plasty with septal and ear cartilages.
Below case showed the result of correcting drooping tip. The tip was supported with septal cartilage.
In consultation, below case hoped her nose dorsum at a height which can not be achieved by silicone implant. In surgery, custom-made Gortex is sculptured and inserted into her dorsum. She is happy with the result.
Below showed a case after hyaluroic acid injection on dorsum.
Too much filler injection on tip makes tip broader, in stead of higher or narrowed. Rhinoplasty is the only way to correct broad nose or nostril show. Below case had several times of filler injection, but she is not satisfied with the result of filler injection. After two-pierce rhinoplasty, she is happy with the result.
Below is before ( left ) and after (right) pictures of reducing nasal bone width on six months after surgery. Blue lines marked the width of nasla bone.
Reducing nasal bone width can be performed at the same time as augmentation rhinoplasty. Below case showed the result after (1) reducing bone width; (2) augmenting dorsum with Gortex; (3) tip plasty with sepal and ear cartilages.
Below case showed the result of hump removal and tip plasty. No implant was inserted.
The other option of hump treatment is to trim the silicone implant on convex part of hump (without hump removal), so that the postoperative dorsum profile is smooth. Right picture showed the result of silicone implant augmentation on a case with hump.
Below right showed the result of two-pierce augmentation rhinoplasty and alar reduction on 1.5 years after surgery.
(2) Alar lowering: One of the ways of improving nostril show is alar lowering. The arrows pointed to the concavity of alae which were improved by alar lowering procedure. The nostril show improved after surgery.
