This revision rhinoplasty patient from Orange County came to San Diego to have Dr. Hilinski perform revision surgery for him. His first rhinoplasty was performed by a different plastic surgeon and resulted in obvious asymmetry of his bridge best seen on frontal view. Notice how his bridge is abnormally shadowed with more severe depression seen along the patient's left side. In addition, one can see how his original rhinoplasty resulted in shortening of his nose creating excess nostril show. His right nostril is actually more upturned than the left side with more severe retraction of the nostril rim. On oblique (45 degree) and profile views, one can appreciate how his nose is shortened with obvious retraction of the right nostril in an upward direction.
Dr. Hilinski recommended an open revision septorhinoplasty to help improve upon the results of his first surgery. Dr. Hilinski was able to utilize septal cartilage for essentially all of this patient's structural deficiencies. Using septal cartilage, Dr. Hilinski created an extra wide spreader graft for the left side of the bridge (patient's left). He also performed conservative rasping of the nasal bone on both sides to achieve a smoother transition along both sides of the bridge. He then reshaped the entire tip with use of cartilage grafts. This helped to lengthen the nose sufficiently while creating more symmetry of the nasal tip. This included alar rim grafts to bring the nostril rim down on both sides. The patient's right side still required a composite ear graft because of the more severe retraction on this side.
These photos represent Dr. Hilinski's revision rhinoplasty results over one year out from surgery. Notice how much smoother and symmetric his bridge now appears. Also note how his tip is more symmetric with improved length. The nostrils rims have now been brought down to a more appropriate position and the excess nostril show is improved. His nose now appears much more balanced for his face and looks naturally masculine.
Dr. Hilinski's office in San Diego, CA is conveniently located near the following:
