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This patient demonstrates the importance of an extremely meticulous and detailed consultation.  She was bothered mostly by the side view and projection of her nose, but also by how it appeared very wide when viewed from the front.  From the side view, we can see the tip was over-projecting. An over-projecting tip protrudes too far from the face, and is also too long – a young woman’s nose should be turned up a bit more.  This patient’s septum was also overgrown, pulling her lip up onto her nose.  From the front view, we can see that the bone was quite wide and the tip was wide as well.  Notice the deep grooves on both sides of the tip, adding to the appearance of wideness.  After a long and detailed exam and discussion, we came to agreement about 10 issues that would be addressed simultaneously.  The tip would be set back, but rotated upward into a more youthful position.  A specific part of the septum would be trimmed to bring about a more youthful and normal length of upper lip.  The bone would be narrowed and the tip would be narrowed.  The other planned surgical issues were related to these same changes, as well as maintaining good breathing.

The patient is extremely pleased with the results of her surgery.  She feels the appearance of her nose is natural and does not have an operated-on appearance.  Very early after surgery, she felt her breathing was already improved from before the procedure, and she had not even been aware it was an issue.   Of course, this sort of breathing improvement is not common, but there are indeed some patients who are not aware of a breathing problem until it is improved after surgery. 

Surgeon: Dr. Thomas Hubbard

Case Number: 163

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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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