Patient Photos

Twisted, Pinched Tip, Pollybeak Deformity and Increased Columellar Show

This Seattle revision rhinoplasty patient had a septo-rhinoplasty by another physician about 7 years prior to his initial consultation with Dr. Thomas Lamperti. He reported that his bridge was now straighter on his profile view but that he had difficulty breathing. Dr. Lamperti identified a persistently deviated nasal septum along with a twisted nasal tip and collapse of the left supra-alar region (the area just above the left nostril on frontal view). On profile view one can see that the patient also has rounding of his tip (also called a polly-beak deformity) and excessive columellar show and alar retraction. The patient is shown before and just 3 months after (with attendant swelling still evident) undergoing a revision septorhinoplasty. On frontal view one can see that the patient still has a significant amount of swelling to his tip. On base view a more symmetric tip is evident. The profile view shows the patient’s preoperative computer imaging in the middle pane and the 15 month result on the right. Already there is a more natural tip contour with a reduction in the amount of columellar show and alar retraction.