Patient Results

Revision rhinoplasty

Revision rhinoplasty
Tip and bridge narrowed using custom grafts. Nostrils refined and made more symmetric.


Natural Rhinoplasty

Natural Rhinoplasty
Large hump reduction with droopy tip elevation. Tip reshaped completely but with natural result.


Ethnic Rhinoplasty

Ethnic Rhinoplasty
Dramatic tip and nasal lengthening and refinement. Diced cartilage fascia graft used to augment bridge. Natural results from major structural changes.


Teenage Rhinoplasty

Teenage Rhinoplasty
Dynamic tip elevation and refinement along with major bridge reduction and de-projection. Nose is now well balanced with face.


Ethnic Rhinoplasty

Ethnic Rhinoplasty
Hanging, bulbous nasal tip, large hump on bridge and long appearing nose. Bridge reduced while refining and balancing the tip shape to match.


Ethnic Rhinoplasty

Ethnic Rhinoplasty
Hooked Hispanic nose with droopy nasal tip and large dorsal hump on bridge corrected and reshaped with natural refinement techniques.



The Alar Rim


The nostrils have a floor (sill) and roof (alar rim). The alar rims surround the nostril aperture (entry to the nose) and can be retracted or hanging like the columella. In addition, they can be wide or flared at their junction where they meet the cheek and upper lip skin. Retracted alar rims can exist naturally or be a result of a rhinoplasty. To correct them in each situation, the same steps are often necessary: lowering and strengthening them requires grafts and struts to be placed. The alar rims are very sensitive to retraction when excessive tip raising or shaping is performed. Also, if a nose surgery patient has tip cartilage that is oriented in the wrong angle (whether from surgery or from birth), then there is a higher chance for alar retraction (nostril rim pulling) and breathing problems. In this case, grafts must be placed during a rhinoplasty and/or cartilage repositioned to prevent future problems with retraction and nostril (alar) rim weakness.

Dr. Ghavami has a systematic approach to alar rim issues that can involve strut grafts, repositioning of the alar cartilages, or both , depending on the circumstance.

It is common to have alar rim problems after an undesirable rhinoplasty. Dr. Ghavami’s revision rhinoplasty usually involves supporting and reshaping of the alar rims. He will consult with you and draw out the plan to address any issues with your nose post-rhinoplasty so that the goals for your revision rhinoplasty are clear and well communicated.


Hazel E's New Nose after ATV accident
by Dr. Ghavami

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