Plastic Surgery Before & After

This is a side by side comparison of a primary rhinoplasty on a young woman with a larger tip.

-Dr. Cilento

This is a 25 year old professional female who underwent a primary rhinoplasty in the Middle East 3 years prior to presenting. After surgery she had immediate nasal obstruction and over time had a collapse and derangement of the structure to the point where she presented below. She had severe scarring to the inside of the nose as well presenting a very difficult problem functionally. She had complete nasal valve collapse and septal deviation. She underwent a revision rhinoplasty using structural rib grafting, with ear cartilage grafting, septoplasty, nasal valve reconstruction and skin grafting to the inside of the nose to fix extensive scarring of the internal nasal passages. The after pictures below were taken one year after her revision surgery.

-Dr. Cilento

This is a 17 year old patient that was heading off to college and felt that his profile looked “weak” and was causing him to have anxiety and low motivation and confidence. Part of this came from his tall and thin nose but also his recessed chin. We performed a primary rhinoplasty and placed a medium sized chin implant as well. These after pictures were taken 1 year after his surgery.

-Dr. Cilento

This patient presented at the age of 16 for nasal obstruction and aesthetic concerns. We had multiple conversations in order to assess her motivations and make sure she was sure about what she wanted. I performed a septorhinoplasty with turbinate reduction and lowered her dorm and narrowed the tip, turning it up slightly as well. These after pictures were taken 1 year after her surgery.

-Dr. Cilento

This 28 year old female presented with concerns of nasal persistent cosmetic nasal concerns and wanted a Primary Rhinoplasty. She complained of a “heavy look” to her nose with a tip that was not “elegant” in her opinion and a dorsum with a hump that was common to her family. I reduced her hump and tailored her tip to fit with our discussions about her idea of what an “elegant nose” would look like after the surgery. These pictures were taken at 6 months after her surgery.

This young woman had always been self conscious of her profile and wanted to have a rhinoplasty. During her consultation I sat with her in front of her pictures and showed her what a chin augmentation would look like after her surgery. I did this using a morphing program that allows me to manipulate the images and demonstrate approximate results of surgery. We decided to do a septorhinoplasty, tip reshaping and medium chin augmentation. The photos below were taken at approximately 6 months after her surgery.

-Dr. Cilento

This young latino woman always felt her nose made her face look heavy. She didn’t want to make changes that would run counter to her heritage but wanted a more feminine and streamlined look. She underwent hump reduction via an open approach, alar base excisions (shown here to demonstrate how well the wounds tend to heal) and tip rotation and refinement. The pictures shown were taken 4 months after the surgery.

-Dr. Cilento