Patient:333
Before:
- This (24 – 34 year old) patient had a wide upper bridge that looked like a knot.
- The tip was round and bulbous, and slightly droopy.
After:
- Finesse improvement with narrower, but not sharp bridge. There is a smooth line from eyebrow to tip, called the dorsal aesthetic line.
- Tip is tapered, no open scars.
Patient:302
Before:
- This (24 – 34 year old) patient suffered a sports injury.
- Her bridge was crooked to the left side. Sharp nose with a droopy and bulbous tip.
After:
- Great natural changes achieved with closed rhinoplasty.
- Bridge is symmetric, the tip is smoothly transitioning into the nostrils, and no pinch or points.
Patient:780
Before:
- This (18 – 24 year old) patient wanted a thinner stronger bridge and profile.
- Her tip was too round and large.
After:
- The bridge is now thin and well defined.
- The tip was refined by incorporating autonomous (natural) cartilage graft under the skin.
Patient:127
Before:
- This (18 – 24 year old) patient had a very challenging ethnic rhinoplasty.
- Her skin was very thick in the tip area, and she had several deformities.
- Crooked, deviated septum causing the bridge to bend to the left.
- Round and uneven tip with poor definition.
After:
- All deformities were corrected by closed rhinoplasty technique.
- The bridge is straight, the tip is well defined and ethnically correct. The bridge is now excellent. The nose harmonizes with her face.
Patient:289
Before:
- This (18 – 24 year old) patient had an ethnic nose and a recessive chin.
- She wanted a more appealing but natural look.
After:
- The patient had closed rhinoplasty which smoothed the ethnic appearance of her nose.
- In addition she also underwent a chin augmentation with the results being an excellent balance between the nose and chin.
Patient:100
Before:
- This (18 – 24 year old) patient had a modest bump that was damaged and broken during a soccer game.
- Crooked bridge, tip cartilages were weak and the nose therefore appeared droopy.
After:
- Dr. Tobias made over the bridge by repositioning the bone.
- The droopy tip was corrected using cartilage grafts for shaping and support.
Patient:138
Before:
- This (24 – 34 year old) patient had breathing problems and was diagnosed with a deviated septum.
- The patient did not like the bump on the bridge as well as the long and droopy tip.
After:
- Dr. Tobias excised the deviated septum, which fixed the patients breathing issues.
- A scarless rhinoplasty was performed to smooth out the bump and repair the droopy tip.
Patient:107
Before:
- This (18 – 24 year old) patient had a very droopy over-projected bridge which was somewhat crooked.
- The patient did not want the tip changed at all.
After:
- Closed rhinoplasty procedure altered the bridge, but there was no alteration of tip cartilages.
- Having a closed rhinoplasty avoided any significant post op swelling of the area.
Patient:303
Before:
- This (14 – 18 year old) patient had an over-projected tip and bridge.
- The columella was droopy.
After:
- After closed rhinoplasty the appearance is more feminine.
- The tip is thinner, and the columella is not droopy anymore.
Patient:122
Before:
- This (18 – 24 year old) patient had a broken nose from a sports injury.
- The injury caused a deviation of his bridge. The tip was bulbous and droopy, with very visible unappealing nostril openings.
After:
- Successful scarless rhinoplasty created a masculine, naturally appealing nose.
- The tip is less bulbous, and well defined with no more droop. The bridge is straight and natural looking.
Patient:120
Before:
- This (18 – 24 year old) patient had one of the most difficult noses to improve “finesse ethnic nose”. Only small important changes needed to be made and there was little margin for error.
- The patient had a very tiny bump with a slightly bulbous tip.
After:
- Finesse Tiplasty was used with very small grafts.
- Dr. Tobias created a completely beautiful nose with no sign of surgery. It fit her face just right.
Patient:117
Before:
- This (14 – 18 year old) patient had difficulty breathing. She injured her nose as a child, which left her with a small profile bump.
- In addition she had a bulbous droopy tip.
After:
- A closed scarless rhinoplasty procedure resulted in a totally natural nose contour that fit her face.
- The tip was delicately refined with no sign of surgery. Rapid healing.
Patient:108
Before:
- This (18 – 24 year old) patient had very difficult deformities to correct.
- He had thick skin and a large bulbous tip, and also a large bump on the profile.
After:
- After a closed, scarless rhinoplasty the nose was transformed into a refined, natural look.
- He had a nice profile change. The tip and nostrils are smaller.
Patient:114
Before:
- This (24 – 34 year old) patient fractured her nasal bones, which resulted in a widened bridge.
- In addition she has ethnic facial characteristics with a bulbous tip.
After:
- Closed rhinoplasty techniques yield excellent natural results.
- The tip is less rounded and slightly shorter. The bridge is thinner, but not too thin. Great conservative result.
Patient:121
Before:
- This (24 – 34 year old) patient had a very over-projected nose that he was born with.
- A great deal of bone and cartilage had to be removed.
After:
- Result shows no sign of rhinoplasty.
- There are no scars, the tip has the correct projection.
Patient:103
Before:
- This (18 – 24 year old) patient had a large bump on the profile.
- The patient also has thick skin of the tip.
After:
- During closed, scarless rhinoplasty the tip was re-sculpted with cartilage grafts.
- Some thickness remained in the tip area, but it healed in a natural/attractive manner.
Patient:111
Before:
- This (14 – 18 year old) patient had a congenitally enlarged nose with thin skin.
- The bridge had small ridges, and the top was wide.
After:
- Great profile with tip sized and matching perfectly.
- Angle of the nostrils is just right, not too short, no skin slope, no pinching.
Patient:130
Before:
- This (14 – 18 year old) patient had a wide bridge and tip.
- The tip was particularly round and bulbous with thick skin.
After:
- The bridge is demurely refined.
- No more bulbous and fatty tip.
Patient:132
Before:
- This (24 – 34 year old) patient had a severe short nasal tip.
- Her bridge just needed finesse improvement.
After:
- The tip was corrected by completely replacing the lower tip cartilage.
- This resulted in a rotation of the tip into a more natural position and reducing the visibility of the nostrils opening.
Patient:134
Before:
- This (34 – 44 year old) patient had a hanging columella.
- Unattractive, arched nostrils.
After:
- Closed rhinoplasty corrected this nicely, with better relationship on the central columella and nostrils.
- The tip is rotated downward slightly.
Patient:183
Before:
- This (18 – 24 year old) patient had multiple congenital deformities to his nose.
- Crooked and uneven bridge, prominent profile with a bump, the columella was droopy when he smiled.
After:
- Dr. Tobias corrected the nose using advanced closed rhinoplasty techniques.
- Multiple grafts were taken from septum and used to correct the crooked bridge. The bump and columella were smoothed, which resulted in a completely 100% natural looking male rhinoplasty. The closed technique resulted in NO columella scar.
Patient:189
Before:
- This (24 – 34 year old) patient had a mildly elevated bridge.
- The tip was over-projected and uneven and the columella was low.
After:
- Dr. Tobias used “Facet Grafting” technique to re-sculpt her with Tiplasty.
- The bridge is perfectly harmonized with the new tip shape.
Patient:153
Before:
- This (18 – 24 year old) patient had a difficulty breathing.
- She also had a very prominent bump on the bridge and a wide tip.
After:
- The profile was refined during a closed, no scar rhinoplasty.
- The nose now fits her face.
Patient:219
Before:
- This (18 – 24 year old patient) wanted a subtle refinement of the bridge and tip.
- Her tip was somewhat bulbous.
After:
- The bridge is artfully refined with no hint of rhinoplasty.
- A scar-less rhinoplasty was performed in order to repair the bulbous tip.
Patient:264
Before:
- This (24 – 34 year old) patient had a thick-skinned tip.
- Wide asymmetrical bridge.
After:
- After closed rhinoplasty the appearance was refined.
- Bridge is thinner and less bulky, the tip is less bulky and more defined.
Patient:209
Before:
- This (34 – 44 year old) patient had a poor original rhinoplasty, which created a pinched, uneven tip.
- Overly visible nostril openings.
After:
- Closed rhinoplasty revision corrected this, recreating a 100% natural looking nose.
- The nostrils are not as visible, and the tip is smooth and even.
Patient:224
Before:
- This (44 – 54 year old) patient had a previous rhinoplasty.
- Overly short “pug” tip.
After:
- Dr. Tobias used closed rhinoplasty technique to correct the tip.
- Multiple tip grafts were used to widen the tip and rotate it downwards.
Patient:300
Before:
- This (24 – 34 year old) patient has only a small bump on bridge.
- Slightly drooping of the tip.
After:
- The bridge is straight and profile perfected.
- The tip is nice and smooth.
Patient:331
Before:
- This (24 – 34 year old) patient had an over-projected bridge and tip, especially when smiling.
- Tip is too narrow, droopy and long.
After:
- After closed rhinoplasty the tip is significantly short and not upturned.
- The bridge is straight and smooth.
Patient:349
Before:
- This (24 – 34 year old) patient desired a look that would not reveal to his friends and family that he had undergone rhinoplasty.
- He had a crooked, hook nose with an over-projected tip.
After:
- Dr. Tobias carried out a conservative, closed, scarless male rhinoplasty.
- Strong natural bridge is created.
Patient:360
Before:
- This (18 – 24 year old) patient had modest concerns. Slightly over-projected bridge and droopy tip.
- The main concern for her was the front view, where we saw an oversized nasal tip which appeared bulbous and round.
After:
- More balanced nasal tip with thinner bridge.
- The tip is more refined without being pinched or pointy. There is a smooth transition between the apex of the tip and the nostrils.
Patient:400
Before:
- This (18 – 24 year old) patient had a bump on her profile.
- She also had slightly visible nostrils.
After:
- Dr. Tobias corrected the nose during closed rhinoplasty.
- He reduced the profile with minimal alteration of the tip and no grafting.
Patient:404
Before:
- This (24 – 34 year old) patient had very thick skin. The original nose surgeon did not remove excess cartilage in the tip.
- There are “bossae” or points in the tip.
After:
- Everything was smoothed out during a closed scarless rhinoplasty.
- The sharp angles were toned down.
Patient:786
Before:
- This (24 – 34 year old) patient had a moderate sized bump on her profile.
- She also had a rounded and under-projected tip.
After:
- Dr. Tobias corrected the nose with closed rhinoplasty technique.
- The tip was corrected with delicate cartilage grafts as well as bridge reduction.
Patient:450
Before:
- This (24 – 34 year old) patient had a very large bump on profile.
- Over-projected, uneven, bulbous tip.
After:
- Dr. Tobias corrected the multiple deformities with a closed scarless rhinoplasty.
- The result was a strong male appearance with no sign that rhinoplasty occurred.
Patient:555
Before:
- This (24 – 34 year old) patient had an overdone surgery.
- Too much bump was removed from bridge, which resulted in collapse of the bridge and severe pinching of her tip with over-shortening of the tip.
After:
- Closed rhinoplasty restored all aspects of the old nose.
- 100 % natural contours.
Patient:530
Before:
- This (24 – 34 year old) patient had an overdone prior nose job.
- Ski slope bridge, with a pinched and pointy tip.
After:
- Using closed, scarless rhinoplasty procedure corrected the prior nose job.
- The bridge is straight and totally natural. The tip is smooth.
Patient:600
Before:
- This (24 – 34 year old) patient had a prior open rhinoplasty.
- Too much tissue was removed from bridge, which created the scooped out profile, and caused a crooked bridge and overly visible nostril openings.
After:
- Dr. Tobias used closed rhinoplasty techniques to reconstruct the deformities.
- The patients profile is straight and no longer crooked. The tip is natural looking.
Patient:660
Before:
- This (34 – 44 year old) patient had a very bad prior rhinoplasty.
- The bridge was nearly completely removed. The tip was over rotated and shortened, revealing very large nostrils.
After:
- Using closed rhinoplasty technique, the bridge was rebuilt with an implant.
- The tip was completely corrected, the nostrils are no longer visible, the columella is straight, and it looks totally natural.
Patient:610
Before:
- This (18 – 24 year old) patient wanted very little change to her nose with a refinement that was totally natural.
- Tip was round and somewhat droopy with little definition.
After:
- Closed 3D rhinoplasty was carried out.
- The tip is now more attractive, delicate and well defined. The result is 100% natural and feminine rhinoplasty.
Patient:638
Before:
- This (44 – 54 year old) patient had several challenging deformities that needed correction.
- The tip was uneven, bulbous and droopy. The profile was uneven and had a bump.
After:
- Dr. Tobias performed a closed scarless rhinoplasty.
- The bridge is totally smooth while the front view now is symmetrical and even.
Patient:750
Before:
- This (18 – 24 year old) patient had an underdeveloped tip with a profile bump.
- Poor projection and thick tip skin with weak cartilage.
After:
- Dr. Tobias performed closed reconstructive rhinoplasty with removal of excess cartilage bone from the bridge.
- The tip underwent extensive reconstruction surgery to recreate projection, definition and rotation.
Patient:790
Before:
- This (18 – 24 year old) patient had deformed nostrils and columella from a previous open rhinoplasty.
- The nostrils were uneven and retracted up; the columella drooped down in the middle.
After:
- The bridge is thinner and straighter, the nose is symmetrical and even.
- The columella is not hanging, and the deformities are corrected; the scar from an open rhinoplasty is less visible.
Patient:800
Before:
- This (24 – 34 year old) patient had an over-projected bridge.
- Droopy tip and visible nostrils.
After:
- The patient’s nose looks totally natural, no visible scars.
- The bridge is naturally strong and straight.
Patient:805
Before:
- This (24 – 34 year old) patient wanted a sophisticated change to her bridge.
- Bump on the bridge, and a sharp, droopy tip with wide nostrils.
After:
- Bump was reduced with closed rhinoplasty.
- The tip is natural looking, and the nostrils are smaller and not as visible.
