Patient Photos

Revision Rhinoplasty to Lengthen Upturned Tip,  Straigthen Crookedness And Reduce Hanging Columella

This Seattle revision rhinoplasty patient had a few prior rhinoplasty procedures out of state along with upper lip lift surgeries. She was left with a crooked tip and a very upturned, shortened nose that she wished to make more straight, harmonious and un-operated appearing. Thomas Lamperti, MD used an open rhinoplasty approach and tissue bank rib cartilage to address the patient's concerns. He custom carved a caudal septal extension graft from the rib cartilage which allowed him to counter-rotate the patient's tip downward so it was not angled so far upward. He also tucked in the hanging columella so it was not so prominent. The tip rebuilding also allowed Dr. Lamperti to straighten the tip so it no longer tilted to the patient's right side. In the 11 month postoperative photos you can see how the patient's tip is now much more straight and her columella less prominent. Importantly, her tip has a more natural appearing downward angle as seen on the profile and frontal views especially. On the frontal view you can most appreciate how we are not looking as far up into her nostrils.