Rhinoplasty before and after, frontal
Rhinoplasty before and after, lateral right
Rhinoplasty before and after, lateral left
She unfortunately had an injury some years ago during cheerleading which led to a broken nose and deviated septum. She had difficulty breathing and did not like the shape of her nose.
She underwent a rhinoplasty by a Chicago based plastic surgeon (not Dr. Shah) to reconstruct her nose. Unfortunately, the surgeon did not fix her septum and used a silicone placed implant inside the nose. Silicone implant is a foreign body and did not react well with her nose. The skin around the implant contracted and made the implant visible highly apparent. In addition, the silicone implant gave her pain upon palpation. Finally, the implant itself looked highly unnatural. It did not look her natural nose and did not photograph well. The patient felt very conscious of her nose and did not like it.
She sought the reconstructive surgeon Dr. Shah who is known to be an insider in the beauty industry. She had a major beauty pageant (Miss USA) in 4 months and needed to look her best. She wanted a nose which reflected her natural shape better and wanted the foreign body of silicone removed. In addition, she wanted to be able to breathe from her nose as this was not addressed and actually became worse with her previous surgery.
Although rib and ear cartilage were discussed as reconstructive options, the patient had a strong preference to not use either if possible. Photographic morphs were discussed with the patient to help guide the aesthetic. The patient relied on her knowledge of beauty with her original nose as inspiration. The patient met with Dr. Shah to communicate her goals and sought Dr. Shah's expert advice on appropriate changes to complement her features.
Due to the time constraints of having a major event shown on national television, Dr. Shah and staff worked with S to help her look her best in such a short amount of time.
Case Study in Revision Rhinoplasty
- Anil Shah, MD, FACS
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