General Rhinoplasty
Primary rhinoplasty for a patient with a large dorsal hump, droopy tip and crooked nose
Primary rhinoplasty for a female patient with an overprojected bridge and droopy tip. Techniques in this case entailed bridge perservation with hump reduction, resulting in natural looking refinements.
Female rhinoplasty patient with concerns of an over projected nose and hump on the side view with a droppy tip. Primary rhinoplasty techniques included the reduction of the bridge and the elevation of the tip. 2 month post-op results.
Female patient with concerns of an over projected bridge and droopy tip. Rhino techniques included the reduction of the dorsal hump, tip elevation, and tip support. 6 weeks post-op result.
Asian female patient who desired to have refinements to her tip and bridge. The bridge was refined by narrowing and raising the bridge of her nose. Bridge refinement was achieved with osteotomies and augmentation using temporalis fascia and diced cartilage grafting. The tip was narrowed and refined using a tip graft.
Millennial female patient documents personal rhinoplasty journey in Miami, FL on TikTok. See the incredible results and quick recovery that she shares with her followers. Dr. Bared, a facial plastic surgeon in Miami, can help you by performing a rhinoplasty, also called a nose job. This procedure may be the answer to your problems with the appearance and function of your nose.
Dr. Anthony Bared, MD describes his techniques used a in patient for hump reduction and tip refinement
Patient with a large dorsal hump and a droopy tip. Primary rhinoplasty techniques included hump reduction, bilateral spreader grafts, caudal septal extension graft and tip graft.
Ethnic rhinoplasty for a female patient bothered by her overprojected bridge and over exposed nostrils. Primary rhinoplasty techniques included hump reduction, and nasal sill reduction to help reduce nostril exposure.
Reconstructive revision rhinoplasty for a female patient who suffered trauma to the nose. She was bothered by the nostril and nasal bridge asymmetry. Grafting techniques along with donor rib cartilage were used to provide refinement to the tip and fill in the bridge.
Female patient whose primary concern included the appearance of her tip from the front and side view of her nose. She had a very acute angle between her tip and her upper lip so primary rhinoplasty techniques included tip support, as well as nostril flare reduction, and tip rotation.
Female patient whose primary concern included the appearance of her tip from the front and side view of her nose. She had a very acute angle between her tip and her upper lip so primary rhinoplasty techniques included tip support, as well as nostril flare reduction, and tip rotation.
Before and after primary rhinoplasty for a female patient who was mostly concerned about the profile appearance of her nose. She was bothered by the appearance of the hump and the droopy tip. Primary rhinoplasty techniques included ultrasonic rhinoplasty with hump reduction and caudal septal tip support graft.
2 Month post op result.
Ultrasonic rhinoplasty intraoperative results of a female patient with a dorsal hump and a droopy tip.
Male patient who desired to raise his droopy tip and narrow the appearance of the tip from the front while maintaining a natural appearance to the nose.
Before and after primary rhinoplasty for a patient with a challenging case of a crooked nose and dorsal hump. Techniques to straighten the crooked nose included medial and lateral osteotomies, ultrasonic rhinoplasty hump reduction, clocking sutures, and tip support with caudal extension graft.
Before and after rhinoplasty for a patient who desired to raise and narrow her nasal bridge, refine her tip, and reduce the flare of the base of the nose. Rhinoplasty techniques included dorsal augmentation, bilateral osteotomies, caudal septal support, tip skin de-fatting, tip graft, and alar base reductions.
Very complicated case of a patient with a severely crooked nose and twisted tip. Rhinoplasty techniques included the splinting of the septum using vomeric bone grafting. Re-positioning of the tip was performed as well as a hump reduction and caudal septal setback.
Dr. Bared describes his rhinoplasty techniques to correct a severe nose deformity from an early childhood accident in a 50 year old female
Dr. Bared describes the techniques used to shorten the nose in a female patient with a long nose.
Dr. Bared describes his rhinoplasty techniques in a female patient with a hanging tip lobule
Dr. Bared reviews a complicated case of a female patient with a twisted nose deformity
Dr. Bared describes his technique for patient with a droopy tip and excess nostril show from the profile.
Female patient who presented with the primary concerns about the appearance of her profile. Rhinoplasty techniques included re-positioning the tip cartilages and a tongue-in-groove setback of the tip lobule plus hump reduction.
Dr. Bared presents a patient with a deviated nose not due to trauma and the techniques used to improve her deviation
Before and after primary rhinoplasty for a female patient who was bothered by the hump on her profile and the droopiness of her tip. She was especially bothered by the droopiness of the tip with smiling.
Dr. Bared describes the techniques used in a female patient who was bothered by her droopy tip when she smiled.
Dr. Bared describes his techniques for a male patient with a severely deviated septum and a droopy tip
Dr. Anthony Bared describes his techniques in rhinoplasty for profile alignment in a patient with a dorsal hump
Dr. Bared describes the initial recovery after a Rhinoplasty
Dr. Bared describes how a hair transplant procedure is performed
Dr. Bared discusses the techniques used a in female patient who was seeking to reduce her nasal bridge hump and raise the tip of her nose.
Dr. Bared reviews a challenging case of a severe saddle nose deformity and the techniques utilized for the correction of the deformity
Dr. Bared reviews his techniques employed in a male rhinoplasty to address bridge and tip aesthetics
Dr. Anthony Bared shares his approach to rhinoplasty for a crooked nose, which is one of the hardest concerns to address.
Dr. Anthony Bared shares before-and-after photos and his approach to helping correct a nose so that it appears straight.
Female with a severely crooked nose who presents for primary rhinoplasty. On the profile she desired to reduce the bump and the projection of the tip. Primary rhinoplasty techniques included asymmetric osteotomies, spreader grafts, clocking sutures, vomeric bone septal splint, tip de-projection, lateral crural repositioning.
Dr. Bared describes his techniques for a primary rhinoplasty for a female patient to reduce the hump and aesthetically improve the profile to give very natural results.
Dr. Bared reviews rhinoplasty cases for patients of different ethnicities who presented with a variety of concerns, and then answers questions from a virtual audience, during this webinar.
Dr. Bared discusses his techniques used in a patient with a crooked nose, hump, and over-projected tip.
Dr. Anthony Bared, rhinoplasty specialist in Miami, FL, shares his approach to rhinoplasty and how he achieves natural-looking results.
Dr. Bared discusses his techniques employed in a challenging case involving a patient with a severely twisted tip. The deformity of the tip in this case was due to severely asymmetric tip cartilages and a deviation of the nose.
Dr. Bared describes his techniques to help straighten a crooked nose. It is well known that the straightening of a crooked nose is the most challenging aspect of rhinoplasty. Dr. Bared describes his multi-tiered techniques employed in a patient with a crooked nose.
Dr. Bared analyzes the results of a patient who was seeking refinements to her tip. While the changes in her case were subtle to the profile of the nose, nice aesthetic differences can be noted in the tip and the appearance of the bridge.
Female patient who desired to refine her tip and her bridge. She was bothered by the size and the shape of her tip. Challenging case of what is called a “trapezoidal tip deformity.” Primary rhinoplasty techniques entailed the flattening and re-positioning of the tip cartilages to narrow the tip and provide for the most natural results.
Dr. Bared describes his rhinoplasty techniques for a complicated case of a patient with a boxy and ultra wide tip shape to provide for the most refinements and natural results.
Female patient who was bothered by the long appearance of her nose. She desired to shorten the nose from the profile and the frontal view. Primary rhinoplasty techniques included a tongue-and-groove tip securing technique onto the existing septum to help shorten the nose and stabilize the tip from drooping.
Dr. Bared shares his approach to the complicated deformity of crooked noses.
Dr. Bared reviews a complicated case of a patient with poor and weak cartilage support of the nose who developed what is known as a saddle nose deformity. Given the lack of cartilage in the septum, cartilage from the rib was utilized to rebuild the support of the nose to optimize her aesthetic results.
Dr. Bared discusses his techniques used in a patient seeking refinement to her nasal tip and profile.
Dr. Bared describes his rhinoplasty techniques for a patient with a long tip giving her profile a droopy appearance. In this case, the tip cartilages were narrowed in both the horizontal and vertical dimensions to provide for the most refinement and natural results.
Dr. Bared describes his techniques to achieve the most natural results for a patient with a very droopy and bulbous tip.
Patient who desired improving the aesthetic appearance of her nasal tip She felt her tip was too wide and bulbous. She also desired to raise the tip so as not to appear droopy from the profile view. Primary rhinoplasty techniques included the repositioning of the tip cartilages, the elevation and support of the tip with a caudal septal extension graft, and further tip refinement with an onlay graft.
This male patient has what is known as a tension nose deformity. In this case, the patient was seeking to reduce the over-projection of the bridge of the nose and to raise the droopiness of the tip. You will note he also had difficulty breathing through the nose as is evident from his mouth opening and mouth-breathing seen in the pre-operative photos and his closing of the mouth given his improvement in breathing through the nose after surgery in the post-operative photos.
Dr. Bared discusses his techniques for the male patient with what is known as a tension nose deformity. In this case, the patient was seeking to reduce the over-projection of the bridge of the nose and to raise the droopiness of the tip. You will note he also had difficulty breathing through the nose as is evident from his mouth opening and mouth-breathing in the pre-operative photos and his closing of the mouth given his improvement in breathing through the nose after surgery.
Dr. Anthony Bared, MD, FACS presents a patient with a deviated nose where an advanced technique was utilized called an extracorporeal septoplasty. In this technique the entire septum is removed and reconstructed to help provide for the best improvement in the deviation of the nose. The patient is seen in the video three months after surgery.
Before and 3 months after primary rhinoplasty to help correct a deviated nose. This patient presents with the very challenging finding of a deviated nose where the entire lower two-thirds of the nose is deviated to the right side. Rhinoplasty techniques included an extracorporeal septoplasty which is a very advanced septoplasty technique where the entire septum is removed and reconstructed then replaced. A hump reduction and slight tip elevation was also performed to improve the aesthetics of the profile as were the patient’s goals.
Dr. Bared describes the expected swelling and the importance of follow up visits after rhinoplasty particularly in patients with thicker nasal skin. In this video he shows how the swelling changes from 1 month after surgery to 6 months after surgery.
Patient who desired refinements to her profile and the shape of her tip. Primary rhinoplasty techniques included hump reduction, bilateral osteotomies, bilateral spreader grafts, caudal septal extension graft for tip support, lateral crural repositioning with lateral crural strut grafts, and tip onlay graft. She has vertically oriented tip cartilages thus to give the most natural tip refinement appearance, the tip cartilages were repositioned. 9 month long term follow photos are provided.
Female patient who wanted to refine her tip. She was displeased with the bulbous shape of the tip from the front and the profile of the tip and the bridge. Primary rhinoplasty techniques included bilateral osteotomies to narrow bridge. Tip refinement techniques included the repositioning of the lower lateral cartilages with lateral crural strut grafts and tip support with a caudal septal extension graft. These tip refinement techniques were employed to give a natural appearance to the outcome.
Facial Plastic Surgeon, Dr. Anthony Bared, MD, FACS, describes his approach as it specifically pertains to the male rhinoplasty patient seeking to lower the bridge and reduce the size of their nose from the perspective of the profile.
Dr. Bared describes a complicated rhinoplasty for a traumatic saddle nose deformity. In this case, the part of the nose that is composed of cartilage had dis-articulated from the bone resulting in what is called a saddle nose deformity. Rib cartilage was used to rebuild the middle vault of the nose and counter-rotate the nose.
Female patient who desired to reduce the appearance of the hump on the profile view of the nose. Primary rhinoplasty techniques included an open approach, bilateral osteotomies, hump reduction, bilateral spreader grafts, caudal septal extension graft, and tip onlay graft. She is seen here 4 months after surgery.
Patient whose concerns include the over-projection of her tip and bridge on the profile view as well as the bulbous tip appearance on the front view. Primary rhinoplasty techniques included bilateral osteotomies, bilateral spreader grafts, caudal septal extension graft, tip onlay graft, and batten graft.
Female patient whose cosmetic concerns included tip refinement, tip elevation, and the hump on her profile view. She underwent a primary rhinoplasty with a hump reduction, osteotomies, and caudal septal extension graft for tip support.
18 year old male who desired to reduce the size of his nose. He also complained of not breathing well from one side of his nose. He was found to have a deviated nose and a deviated septum. These were corrected with a septoplasty and an open approach to rhinoplasty. The pictures provided are 1 month after surgery.
A 18 year old male with distant history of nasal trauma. Presents complaining of bilateral nasal obstruction and crooked nasal deformity. He was found to have a severely deviated septum and an external nasal deviation. Challenging primary rhinoplasty which included septoplasty, hump reduction, spreader grafts, and batten grafts. Post-operatively his nasal obstruction was corrected. On the frontal view, an improvement in his nasal deviation is evident. Lateral view shows reduction of his hump with profile alignment. Base view reveals a triangular shape, nostril symmetry as well as improvement of his nasal deviation.
Challenging primary rhinoplasty female patient who presented with nasal blockage and cosmetic complaints regarding her nose. She found her nose to be large and with a crooked appearance. She was found to have a significantly deviated septum and an external deviation of her nose to the right side. Complicated primary rhinoplasty which included a septoplasty, placement of spreader grafts, removal of nasal hump, tip setback through a tongue and groove technique, and tip domal suturing. Postoperatively, patient now without nasal breathing problems, nose straight externally, profile alignment with straight dorsum, and natural tip refinements on frontal view. Base view demonstrates the tip refinements achieved while maintaining nostril symmetry.
Patient with a undefined and boxy tip seeking refinement to her tip and the straightening of her profile. In this case the tip was refined with onlay tip grafts using crushed cartilage and the root of the nose (the radix) was raised using cartilage grafting which gave the profile a straighter appearance and alignment with the tip.
Before and after primary rhinoplasty on a female patient with the primary complaint of the over-projection of her bridge. Primary rhinoplasty techniques included hump reduction, osteotomies, bilateral spreader grafts, and caudal septal extension graft for tip support.
Patient who desired an overall thinner nose from the front and tip elevation on the profile view. Challenging case with very wide nasal bones and tip cartilages with thick nasal skin. Primary open rhinoplasty techniques included both medial and lateral osteotomies for maximal nasal bone narrowing. The tip cartilages were repositioned with placement of lateral crural strut grafts and tip onlay grafts. The tip cartilages were re-oriented to provide for narrowing of the tip while preserving a natural tip appearance given the orginal ultra wide tip cartilage orientation. Base view of the nose shows the boxy tip cartilage prior to surgery. Tip support with caudal septal extension graft. She is seen 6 months post-op.
Patient with concerns of wide tip and hump on the profile view. Open rhinoplasty techniques include hump reduction, osteotomies, bilateral spreader grafts, caudal septal extension graft and tip onlay grafts. Seen here are her 8 month post-operative results.
Patient with crooked nose deformity. His nose was deviated to the right side and with difficulty breathing. Did not desire any cosmetic changes to the nose other than the straightening of the nose. Primary rhinoplasty techniques entailed a right osteotomy, bilateral spreader graft placement using the “push/ pull” technique, and a left batten graft. 3 months post-operatively he is seen with correction of the nasal deviation. Base view before and after surgery also shows improvement in the symmetry of the nostril shape. No changes were made to the profile.
Primary rhinoplasty for tip refinement. Techniques included bilateral osteotomies, caudal septal extension graft, lower lateral cartilage repositioning with lateral crural strut graft and tip onlay graft.
Patients concerns included the hump on the profile view and the tip. Rhinoplasty techniques included hump reduction, osteotomies, bilateral spreader grafts, tongue-in-groove tip setback, and tip onlay grafts. Tip cartilage support and repositioning was accomplished by a tongue-in-groove technique where the existing septum was used to help shorten the appearance of the profile and the hanging columella.
Challenging case of Hispanic rhinoplasty of a patient with very thick nasal skin and a wide nose. Primary rhinoplasty techniques included bilateral osteotomies, defatting of the nasal skin, tip onlay grafts, and alar flare reduction incisions. Techniques performed to provide for narrowing of the nose while preserving a natural appearing outcome. Alar flare reductions allow for the narrowing and the thinning of the base of the nose while maintaining the nostril size the same. In this case, her nostril size were small but the nasal flare was wide.
Female patient with a crooked nose and deviated tip. She also desired the refinement of her tip and the alignment of her profile view. The crooked and deviated tip is a very challenging feature to improve upon in rhinoplasty. Intra-operative maneuvers entailed the asymmetric placement of spreader grafts and a clocking suture technique. Hump reduction and tip refinements were also made. Seen here in her post-operative photos are a significant improvement in her nasal tip deviation and the other refinements made to the nose including the reduction of the hump on the profile view.
Dr. Bared describes his technique on a female patient whose primary concerns were the width of her nose and bulbous tip from the front view. She was noted to have thicker nasal skin and vertically oriented nasal tip cartilages. In order to refine the tip significantly given her thick skin and adhere to natural-appearing results, her tip cartilages were re-positioned using lateral crural strut grafts. Other techniques employed include open rhinoplasty approach, bilateral osteotomies, caudal septal extension graft, and tip onlay graft.
Primary rhinoplasty and chin implant for a patient with very thin skin whose concerns included over-projection of her nose. Techniques included hump reduction, bilateral spreader grafts with double spreader grafts on the left side to address her bridge. Tip setback using caudal septal extension graft and onlay grafts. Medium, silastic chin implant was also placed to balance her profile.
Patient presented with complaints of large, over-projected nose, a large hump as well as nasal breathing difficulty. Primary rhinoplasty was performed with septoplasty, hump reduction, and spreader grafts. A ‘toungue-in-groove’ technique was utilized for tip support whereby his tip cartilages were set back onto his septum. This technique allows for long term tip support as well as for the decrease in projection of the tip. A chin implant was also placed to for profile alignment. Seen here are his 9 month post-operative results.
Female patient who complained of an over-projected and long nose on the profile and a bulbous tip on the front view. She was noted to have an over-projected bridge with vertically-oriented nasal tip cartilages. The vertical orientation of the nasal tip cartilages made for a longer nose on the profile view with a droopy tip. The vertical orientation of the tip cartilages also provided for the bulbous appearance to the tip on the frontal view. Primary open rhinoplasty techniques entailed the de-projection of the nose. Nasal tip cartilages were re-positioned in a more horizontal direction which allowed for the simultaneous refinement to the tip while preserving tip function and natural-appearing tip aesthetics. Caudal septal extension graft with lateral crural strut grafts were used to re-position the tip cartilages and maintain the tip’s structural integrity. Base view also included to demonstrate tip de-projection while maintaining a natural, pyramidal tip shape.
Miami Facial Plastic Surgeon, Dr. Anthony Bared, M.D., F.A.C.S., demonstrates long term results of a rhinoplasty and chin implant. Chin implants can help to balance the profile and can be a nice combination with a rhinoplasty. This patient’s long term results are shown after a rhinoplasty to reduce the nose and a chin implant to help balance the profile.
Facial plastic surgeon, Dr. Anthony Bared, MD, FACS, describes his techniques and demonstrates results on a complicated rhinoplasty for a patient with a crooked nose, droopy tip, and thick nasal skin.
Dr. Bared describes a case of rhinoplasty for a patient with a crooked nose from sports-related injuries and a dorsal hump.
Dr. Bared describes his technique for a patient with a hanging columella and flared nostrils.
Dr. Bared describes his treatment for a patient with an over projected nose and dorsal hump.
Dr. Bared is shown here meeting post-op with a female patient to review a rhinoplasty which was intended to fix her over projected nose.
Miami Rhinoplasty Specialist, Dr. Anthony Bared is with patient who is 2.5 months post-op of a rhinoplasty procedure.
Miami Facial Plastic Surgeon, Dr. Anthony Bared is with a 1 week post-op rhinoplasty patient who wanted to correct her nasal deviation and improve further refinements to the tip of the nose.
Facial Plastic Surgeon, Dr. Anthony Bared, discusses revision rhinoplasty techniques for a patient with a pointy and over-projected nasal tip and a narrow nose.
Dr. Anthony Bared reviews revision rhinoplasty surgery. This patient came to Dr. Bared with a concern regarding a droop in the tip of her nose as well as lack of definition at the bridge of her nose.
Facial plastic surgeon Dr. Bared describes his technique on a revision rhinoplasty to improve a crooked nose and nostril asymmetry.
Miami Facial Plastic Surgeon, Dr. Anthony Bared is with a female patient who he performed a challenging revision rhinoplasty procedure on to help improve her fore shortened nose from a previous rhinoplasty.
Dr. Bared describes his technique for a patient who underwent a revision rhinoplasty for a severely upturned nose.
Dr. Anthony Bared, M.D., F.A.C.S. demonstrates the results of a revision rhinoplasty in a male patient with a low bridge and droopy tip. Dr. Bared discusses the use of temporalis fascia to raise an overly removed bridge and tip re-positioning to address the droopy and bulbous tip.
Dr. Bared describes his revision rhinoplasty techniques for a patient with multiple previous rhinoplasties with nasal tip deformities and breathing difficulty through the nose.
Dr. Anthony Bared describes a complicated revision rhinoplasty of a patient with a severely crooked nose from previous surgery and trauma to the nose.
Miami Facial Plastic Surgeon, Dr. Anthony Bared is with a female patient (1 week post-op) who he performed a complex rib revision rhinoplasty to help improve her complications from previous performed surgeries.
Patient who had undergone two previous rhinoplasties with a severely crooked S-shaped nose. On her profile she has a low, collapsed bridge with a saddle nose deformity. Dr. Bared describes his techniques for rib cartilage grafting in this challenging revision surgery.
Miami Facial Plastic Surgeon, Dr. Anthony Bared is with a female patient who he performed a rhinoplasty and septoplasty to improve breathing and the overall appearance of the nose.
