Patient Photos

Afro-Dominican Ethnic Rhinoplasty To Create Tip Refinement And Narrow Nostrils

This Seattle based Afro-Dominican rhinoplasty patient came to Dr. Lamperti wanting to narrow and refine her bridge, nostrils and tip. She also was concerned with the prominent supra-alar pinching that she naturally had (no prior rhinoplasty as a cause) and wanted to see if that could also be addressed. Dr. Lamperti noted a wide bony upper third of the patient's nose along with wide nostrils and mild alar retraction. Dr. Lamperti performed a closed septorhinoplasty to treat these issues. First, controlled bone fractures were performed to narrow the wide upper nasal bridge. Next, he used harvested septal cartilage to create alar batten grafts which were placed in an onlay fashion over the patient's prominent supra-creases. Lastly, to narrow the patient's wide nostrils a conservative alar base reduction was done using a wedge excision technique. In the approximately 7 month postoperative photos you can see how the patient's wide bridge is nicely narrowed creating an improved brow-tip aesthetic line. The supra alar pinching has also been effaced nicely with just a subtle shadowing now present. You can also see how the batten grafts also acted to subtly reduce the patient's alar retraction as noted especially on profile view. This has resulted in reduce columella show.