Patient Photos

Dominican Ethnic Rhinoplasty To Narrow A Wide Bridge And Nostrils

This Seattle based African-Dominican rhinoplasty patient came to Dr. Lamperti wanting to narrow and refine her bridge and nostrils. She also was concerned with the prominent supra-alar pinching that she naturally had. Dr. Lamperti noted a wide bony upper third of the patient's nose along with wide nostrils and mild alar retraction. Dr. Lamperti performed a closed septorhinoplasty to treat these issues. First, controlled bone fractures were made to narrow the wide nasal bones. Next, he used harvested septal cartilage to form alar batten grafts which were placed in an onlay fashion over the patient's prominent supra-creases. Lastly, to narrow the patient's wide nostrils a conservative alar base reduction was done using a wedge excision technique. In the approximately 7 month postoperative photos you can see how the patient's wide bridge is nicely narrowed creating an improved brow-tip aesthetic line. The supra alar pinching has also been effaced nicely with just a subtle shadowing now present. You can also see how the batten grafts also acted to subtly reduce the patient's alar retraction as noted especially on profile view. This has resulted in reduce columella show.