Patient Photos

Facial Feminization Rhinoplasty Combined With Functional Breathing Repair

This male to female Seattle facial feminization rhinoplasty patient came to Thomas Lamperti, MD looking to begin the process of facial feminization surgery. Besides wanting to reduce the overall size of her nose she also wanted to improve her chronic nasal congestion problems. Dr. Lamperti noted several issues on initial examination. The patient had a very broad, bulbous tip along with wide nasal bones and a bridge hump. Additionally, the patient had a deviated nasal septum, which was even noted on the patient's base view. Dr. Lamperti performed an open septo-rhinoplasty to address these concerns. First, he reconstructed the patient's deviated septum, creating more even nostrils and much better nasal breathing. Next, Dr. Lamperti smoothed the patient's bridge, removing the patient's nasal hump. A more feminine supratip break was also created. Controlled bone fractures were used to narrow the wide nasal bones. To refine the patient's bulbous tip a cephalic trim and dome binding sutures were used to narrow and flatten the convex lower lateral cartilages. The tip defining points were also narrowed using sutures as well. In the 6 month after photos you can see how a less masculine nasal appearance is seen. The nose is less big and wide overall and there is no longer a prominent bridge hump. The tip is also less prominent and bulbous. You can also see how the columella is straighter on base view following septal reconstruction.