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Surgeon: Dr. Thomas Hubbard

This professional Virginia Beach woman in her 20s was bothered by how her nose appears crooked in front view and there is a hump on her side view. She also was not pleased with the degree her tip pointed downward; however, she wanted a very conservative amount of change. Her tip was very asymmetric as the areas of the left tip were concaved. With an open rhinoplasty approach using what are called structural techniques, we were able to accomplish the changes she wanted. With these type of techniques, actual millimeters of rotation and setting the tip back can be measured. Her tip was set back 2 mm and the tip was rotated upward 2.5 mm. I recommended a little more rotation, but she is pleased with her nose up slightly. I shared with her a lecture I presented to The Rhinoplasty Society National Meeting on millimeters of rotation. There are a certain number of millimeters I rotate the tip up when the tip points down to the floor, a certain number of millimeters when it is at 90 degrees and if the tip is already rotated up, it must be even more conservative. Her tip was actually pointing down somewhat and she would have been in a category to rotate it more, but again the bottom line is she is happy with the result.

Case Number: 636

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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.
  • Please wear a mask during your visit but do not wear gloves. You will be given hand sanitizer.

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