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This young lady from North Carolina is an example of a truly beautiful face that was overshadowed by the imperfections of her nose. After her shape was changed in a very natural way, her true beauty was even more noticeable. She is also an example of how grafting is so extremely important in rhinoplasty today. The bridge of her nose was kept high while completely getting rid of the hump. This approach led to a more elegant look and better breathing long term. During our thorough discussion prior to her open rhinoplasty, we had a list of maneuvers numbering almost ten. Included was straightening her nose because her tip was off to the right. Also, her columella was raised so that it would not hang down when viewed from the side. With some changes, I place a dot on the patient’s forehead in surgery which allows careful measurement with a calipher so just the right amount of rotation can be accomplished. There was a tendency for her nostril to arch upward. This was addressed with another type of graft called an extended alar contour graft, which took some of the arching. It has further advantages for the rest of her life. Many rhinoplasty patients have a tendency over the years to have the nostril margin arch up, showing more inside the nose. But with such an alar contour graft, her arch will never raise up and she will always have a natural, youthful shape to that part of her nose. These techniques using grafting technology do take longer in surgery, but it is worth the extra effort for more control of the result. She is extremely happy with her rhinoplasty at only 4 months. Clearly there is still swelling, and the tip shape will continue to improve for another year.

Surgeon: Dr. Thomas Hubbard

Case Number: 659

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*The persons shown in photographs on this website are stock photography models and are not actual patients of Hubbard Plastic Surgery & Skin Enhancement.

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Practice Policy Update Regarding COVID-19 View Update Online Consultation

Practice Policy Update Regarding COVID-19

We are excited to announce our reopening as of May 1st. While many things have changed, one thing has remained the same: Our commitment to your safety.

Consultations are available in our office and we will continue to offer Virtual Consultations as well. You will be asked to complete your registration paperwork in our secure patient portal prior to your appointment and your consultation fee will be collected by phone to minimize contact.

Here are a few changes we have made as we transition to this new era:

  • Please reschedule your appointment if you are not feeling well, have a fever, have been exposed to anyone with Covid-19 or travelled internationally within the last month.
  • We will limit the number of people in the building and waiting area to maintain social distancing and our staff will be wearing masks until restrictions are eased.
  • When you arrive for your appointment, please call our office at 757-456-5193 and we will let you know when to come to the door. We ask that you do not bring anyone with you.
  • Please wear a mask during your visit but do not wear gloves. Your temperature will be taken, and a series of questions asked prior to entering the building. You will be given hand sanitizer.

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