Patient Photos

Bulbous over-rotated nose rhinoplasty and asymmetric nostril repair combined with sinus surgery and dermal filler injection

This Kirkland rhinoplasty patient came to Dr. Lamperti wanting to refine her rounded tip and smooth her profile. She also had significant nasal breathing blockage related to her severely deviated nasal septum which even led to asymmetric nostrils. She also suffered from recurrent sinus infections that she was looking to improve. Separately, this patient wanted to improve her facial volume loss to create a rejuvenated appearance. In analyzing the patient's nose Dr. Lamperti also found that her nasal tip was also somewhat upturned and that lengthening her nose modestly would further improve her nasal appearance. To correct these issues Dr. Lamperti performed an open septorhinoplasty along with sinus surgery. He reconstructed the patient's caudal septum (the part of the septum closest to the nostrils) in order to improve her nostril asymmetry. Dr. Lamperti also repositioned the patient's nasal tip in a less upturned position and also smoothed the bump on her bridge. To refine the bulbous nasal tip a cephalic trim and dome binding sutures were used to flatten the lower lateral cartilages. Dr. Lamperti concurrently performed sinus surgery to open up the patient's blocked cheek and forehead sinuses. In the after photos taken about 1 year after surgery you can see how the tip is more refined while not appearing pinched or overdone. The tip is also less upturned and the bridge bump smoothed. On base view you can see how the crooked columella is now much straighter. The patient reports being able to breathe much better and has much improved sinus function following surgery. Dr. Lamperti also injected dermal filler restylane and radiesse following surgery in order to create a softened, more youthful appearance.