Explore real patient rhinoplasty results that showcase Dr. Brian’s meticulous technique and refined aesthetic approach. Each before-and-after demonstrates how subtle, expertly performed changes can enhance balance, harmony, and confidence.
This is a female patient with a nasal bump. She felt her nose was too long and protruded from her face. The procedure included a hump reduction and then a tip-plasty to reduce her tip.
This is a female patient with a nasal bump, who felt her nose was also twisted down and nostrils too flared. The procedure included a hump reduction and then a tip-plasty to rotate the tip up and improve the nostrils.
This is a patient who felt her nose was too long, and didn’t like the bump or how her tip looked droopy. The procedure included a hump reduction and then a tip rotation and lift, as well as enhancing cartilage definition
These are pre/post shots of a patient with a large dorsal hump and thick skin, who did not want to have a full rhinoplasty and was more interested in a filler liquid rhinoplasty. Her procedure involved a filler placement above and below the nasal hump to smooth out the skin and camouflage the nasal area of concern. Because her skin was thick the changes are less pronounced but are still a good improvement.
These are pre/post shots of a patient with concerns regarding a small dorsal hump and that her nose was too up tilted. Her procedure includes a small amount of filler placed carefully to cover the hump, and some work in the tip to push the top of the nose down and give the effect of counter rotation. With her skin being thinner, the filler was able to nicely mask the areas of concern.
This patient had concerns regarding the appearance of her nasal tip and the way the cartilage was twisted and splayed. This was corrected with reconfiguration of her middle nasal cartilages and an overlay technique.
This woman had a substantial tension tip and dorsal hump. Correction was performed via open approach, dorsal reduction, deprojection, and tip rotation grafting, to achieve a new pleasing result.
This lady had a prior rhinoplasty by an outside surgeon, but the result was not as she had hoped. Correction and improvement were obtained with a revision rhinoplasty, auricular grafting, osteotomies, and tip suture work.
This patient had a bone fracture line and hump from an old injury. Her correction involved dorsal rasping, osteotomies, and then a columellar strut to keep the tip straight and lifted.
This lady had a complex history of two prior rhinoplasties and prior ear grafts, all by outside surgeons. Her columella had collapsed and the tip shifted. Correction here required a donor rib graft and extensive rebuilding of the tip with struts and grafts, but the result was as she was hoping for.
This lady underwent a standard open approach rhinoplasty to reduce her hump and both lift and rotate the tip into a more pleasing orientation.
This lady had a dorsal hump reduction with osteotomies, and a columellar strut to lift her tip and give her the feminine result she desired.
This patient had an old nasal fracture causing a large dorsal hump and tip shift. His surgery required a hump reduction, medial and lateral osteotomies, and septal extension graft to align the tip to dorsum. The end result was a pleasing masculine profile.
This patient had a nasal fracture from an old injury as well as a septal deviation. Correction was via a closed approach, septoplasty, and then medial and lateral osteotomies to re-align his dorsum to the middle the way he wanted it.
This patient underwent a hump reduction, osteotomies, and tip narrowing to give him the refinement he was looking for.
This patient had a large dorsal hump and under rotated nose. We corrected this via an open approach, removal of the hump, and rotation maneuvers to lift her tip.
This patient had a congenital deformity to the nose and then had failed a prior correction with an outside surgeon. Her surgery was complex and involved auricular graft as well as more standard rhinoplasty maneuvers to repair the dorsum and nasal cartilage and give her the shape she was looking for.
This patient wanted a narrow nose, hump reduction, and a lift of her tip. We accomplished this via open approach, hump removal with osteotomies, and then a complex series of tip grafts and sutures to rotate the tip the way she wanted it.
This patient wanted her hump taken down and also a chin extension. We accomplished her desires via a combination rhinoplasty and chin procedure.
This patient only wanted a small rhinoplasty to lower her dorsum and no tip work done. Her procedure was performed in a closed (i.e. incisionless) approach.
This man has had a highly complex cleft lip and nose deformity since childhood. This technically difficult surgery was done using ear grafts to reconstruct the genetic issue he had with his tip to improve both function and cosmetic appearance.
This patient underwent a liquid rhinoplasty to elevate her saddle nose depression. Procedure done under local anesthetic in 20 minutes over two sessions.
This lady had a primary rhinoplasty elsewhere but was unhappy with the result and saw me for a revision. Her surgery required donor rib grafting to elevate the tip and nasal sidewalls as well as restore symmetry.
This patient had a dorsal hump reduction and tip elevation performed, giving her an attractive feminine nose in the end.
This older lady had a saddle nose deformity from an underlying disease, and was unable to undergo surgery. Her correction was achieved with liquid rhinoplasty filler technique over several sessions.
This man had a droopy tip and curved nose, and due to his tall stature both were accentuated. He underwent reconstruction with an open approach and donor rib graft giving him a fresh masculine look.
This lady was unhappy with the hook of her nose, and so was corrected with an open approach rhinoplasty with dorsal reduction and tip rotation.
This patient had an unfortunate nasal injury that left her with a saddle nose. She underwent three sessions of liquid rhinoplasty to restore a natural and nearly normal look.
* All images displayed with permission from the patient
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