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This 30 year old Norfolk woman was greatly bothered by the tip of her nose.  She did not like the shape, nor how it protruded and pointed downward.  She felt that her nose was not feminine and the downward projection gave her a more aged appearance.  During our consultation, we discussed the hollow area to the left of the tip and the fullness to the right of the tip.  Observing her side view, the tip protrudes out and has a downward point. Also, the nostril margins have an unattractive arch.  Through an open rhinoplasty, all of these issues were addressed.  Clearly, she would need her tip set back and rotated up or shortened.  Using a special type of graft with a new technique called repositioning of the lateral crura with a lateral crural strut graft, all of the remaining tip issues were addressed.  With the graft, the left side cartilage was straightened.  The bulging cartilage on the right was made straighter.  Since both of her cartilages swept upward, instead of to the side, she was lacking the attractive shadows of a beautiful tip.  This could only be accomplished by repositioning her cartilages in a new direction. Even with some residual swelling in these four month post-op photos, she clearly has a more feminine nose.  The tip is symmetric.  As the swelling resides, she is getting more and more of that beautiful shadow above and to the side of her tip.  

Surgeon: Dr. Thomas Hubbard

Case Number: 479

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Practice Policy Update Regarding COVID-19 View Update Online & Virtual 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.

Online & Virtual Consultation