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 Nasal Tip


Improving Your Nasal BreathingThe nasal tip in rhinoplasty is one of the most important aspects in producing effective and natural rhinoplasty results. The nasal tip often needs refinement and narrowing, but care must be taken to not produce an unnatural pinched appearance. By placing nasal tip shaping sutures and select custom cartilage grafts, a unique and natural-appearing tip can be created. The nasal tip must blend with the rest of the nasal features so that it looks like the patient could have been lucky to be born with the new tip.

Patients must evaluate their surgeon’s photo gallery carefully to assess the tip. If the flash or lighting is too bright, it will be difficult to assess the subtle nuances of tip shape. In addition, if a photo gallery is not displaying the front view for its patients then be careful. While it is simpler to show the profile view in which a hump on the bridge was reduced, many surgeons hide their front views. The front view shows the skills of the surgeon best as well as the ability of that surgeon to shape the nasal tip and lengthen or lift it as necessary. Rhinoplasty Surgeon Dr. Ghavami displays all the front views so that prospective patients can see the way the customized tip shape is balanced with the bridge and rest of the nose.

Tip shaping may also require reducing or increasing the projection of the tip. It is important to set the tip back towards the face when it is long, droopy or over-projected at the same time that the bridge is reduced to avoid a long-looking Pinocchio-type appearance to the nose and nasal tip.

Lastly, nasal tip shaping can require soft tissue and skin thinning to effectively show off the newly created shape. Dr. Ghavami has lectured extensively on this aspect of tip shaping and has designed grafts to meet the goals of patients of all ethnic backgrounds.

With revision rhinoplasty, the tip can be weak, artificial looking, and excessively narrowed (“pinched tip”). Strut and support grafts are usually needed to reestablish a natural appearing nasal tip appearance as well as support the alar rims, which lay next to the tip. Please see some of Dr. Ghavami’s peer-reviewed and published scientific articles on tip shaping to learn more.


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

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