Patient Photos

Male Rhinoplasty to Narrow Wide Nose With Rounded, Over-Projected Tip with Bridge Hump

This male Seattle rhinoplasty patient came to Thomas Lamperti, MD looking to improve both the overall appearance and function of his nose. He wanted to narrow his wide bridge and tip along with decreasing his tip projection and bridge fullness. Dr. Lamperti performed an open septorhinoplasty surgery in which he straightened the patient's septum. Additionally, he repositioned the patient's tip in a more deprojected and slightly more rotated location. After bringing the tip in Dr. Lamperti also shaved down the patient's bridge hump to match the new tip position. Based on the patient's aesthetic preferences expressed during the office consultation process Dr. Lamperti created a supratip break during this process. The patient also had a full tip along with relatively thick nasal skin. Dr. Lamperti refined the patient's tip using a combination of cephalic trim and dome binding sutures and narrowed the tip defining points using a suturing technique. The wide nasal bones were narrowed using controlled bone fractures (osteotomies) and the nostril width was also reduced using a wedge excision alar base reduction. In the after photos taken about 14 months after sugery you can see how the patient has a more refined tip that is less projecting . The bridge is also less protruding. Given the patient's thick skin Dr. Lamperti would expect the bridge skin to redrape and shrink wrap even more over the following one to two years. Importantly, the patient is also breathing much better.