Before & After Pictures of Patient 542

Procedures Performed: Crooked Nose, Nasal Hump or Bump, Rhinoplasty

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Case Number: 542

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Crooked Nose, Nasal Hump or Bump, Rhinoplasty Before Photo | Virginia Beach, VA | Dr. Thomas Hubbard   Crooked Nose, Nasal Hump or Bump, Rhinoplasty After Photo | Virginia Beach, VA | Dr. Thomas Hubbard
Before   After

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Crooked Nose, Nasal Hump or Bump, Rhinoplasty Before Photo | Virginia Beach, VA | Dr. Thomas Hubbard
Before

Crooked Nose, Nasal Hump or Bump, Rhinoplasty After Photo | Virginia Beach, VA | Dr. Thomas Hubbard
After

Crooked Nose, Nasal Hump or Bump, Rhinoplasty Before Photo | Virginia Beach, VA | Dr. Thomas Hubbard
Before

Crooked Nose, Nasal Hump or Bump, Rhinoplasty After Photo | Virginia Beach, VA | Dr. Thomas Hubbard
After


Although this Williamsburg woman in her early fifties had never had nose surgery, this was an example of how primary rhinoplasties can be extremely complex.  I have patients ask me, do you think my nose is simple?  I think it is a mistake for any surgeon to consider a rhinoplasty as a simple operation and I approach them all as unique challenges.  This woman was bothered by numerous issues and during our consultation we identified other areas that needed to be addressed.  She did not want her tip narrowed but wanted the tip brought up.  The columella, or skin bridge beneath the nostrils, needed to be raised. She needed the bones narrowed and the bulging above her nostrils had to be addressed.  Her extremely thin skin added another level of complexity.  After careful consideration, our plan involved taking down the hump and rotating.  When I rotate and I raise the columella, I use a calipher that measures from a dot at the lower forehead, thus leaving very little to chance with structure rhinoplasty. To further improve the naturalness of her result, repositioning of her lateral crura or nostril cartilages was planned.  This usually involves some narrowing of the nostrils as well.  To achieve the most natural look, her surgery involved 20 to 25 surgical maneuvers, in addition to placing slight bits of padding to account for her extremely thin skin. Such a well-planned and detail oriented rhinoplasty requires a significant amount of time, sometimes 4-5 hours to get the best result possible. She is extremely happy with the naturalness of her nose and how well she breathes. 

Surgeon: Dr. Thomas Hubbard

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Before

After

Case 542

  • Crooked Nose, Nasal Hump or Bump, Rhinoplasty Before Photo | Virginia Beach, VA | Dr. Thomas Hubbard Crooked Nose, Nasal Hump or Bump, Rhinoplasty After Photo | Virginia Beach, VA | Dr. Thomas Hubbard
  • Crooked Nose, Nasal Hump or Bump, Rhinoplasty Before Photo | Virginia Beach, VA | Dr. Thomas Hubbard Crooked Nose, Nasal Hump or Bump, Rhinoplasty After Photo | Virginia Beach, VA | Dr. Thomas Hubbard
  • Crooked Nose, Nasal Hump or Bump, Rhinoplasty Before Photo | Virginia Beach, VA | Dr. Thomas Hubbard Crooked Nose, Nasal Hump or Bump, Rhinoplasty After Photo | Virginia Beach, VA | Dr. Thomas Hubbard

Although this Williamsburg woman in her early fifties had never had nose surgery, this was an example of how primary rhinoplasties can be extremely complex.  I have patients ask me, do you think my nose is simple?  I think it is a mistake for any surgeon to consider a rhinoplasty as a simple operation and I approach them all as unique challenges.  This woman was bothered by numerous issues and during our consultation we identified other areas that needed to be addressed.  She did not want her tip narrowed but wanted the tip brought up.  The columella, or skin bridge beneath the nostrils, needed to be raised. She needed the bones narrowed and the bulging above her nostrils had to be addressed.  Her extremely thin skin added another level of complexity.  After careful consideration, our plan involved taking down the hump and rotating.  When I rotate and I raise the columella, I use a calipher that measures from a dot at the lower forehead, thus leaving very little to chance with structure rhinoplasty. To further improve the naturalness of her result, repositioning of her lateral crura or nostril cartilages was planned.  This usually involves some narrowing of the nostrils as well.  To achieve the most natural look, her surgery involved 20 to 25 surgical maneuvers, in addition to placing slight bits of padding to account for her extremely thin skin. Such a well-planned and detail oriented rhinoplasty requires a significant amount of time, sometimes 4-5 hours to get the best result possible. She is extremely happy with the naturalness of her nose and how well she breathes. 

Surgeon: Dr. Thomas Hubbard