Rhinoplasty New Jersey – Issues and Treatments

Treatment of Specific Rhinoplasty Problems

Crooked Nose

This occurs when your nasal bones and/ or septum are not located in the middle of your face. It can happen after trauma or inherited as a family trait. Treatment includes straightening the crooked nasal septum and nasal bones.

The patient shown here sustained prior nasal trauma, resulting in a crooked nose. Dr. Parker straightened the crooked nose by addressing her septum and nasal bones during an open rhinoplasty.

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Excessive Nasal Tip Projection

Nasal tip projection is the distance your nasal tip protrudes from your face. If your tip projection is too large, your nose will look too big. This is an inherited problem. Treatment includes precisely setting back the cartilage in the nasal tip through an open rhinoplasty approach. Dr. Parker did just that in the patient shown here.

Tip Size

The tip of your nose may be too rounded, too bulbous or too broad; this results when the cartilage in the tip of the nose are overly large and separated farther than they should be. Treatment includes removing the excess cartilage and shaping the remaining tip cartilage with sutures under direct vision using an open rhinoplasty approach. Dr. Parker used this approach to improve upon the bulbous tip in the patient shown here.

Nasal Tip Asymmetry

Your nasal tip may look different from one side to the other. This almost is usually congenital but may occur after trauma or prior rhinoplasty. Treatment involves an open rhinoplasty to shape the tip cartilage under direct vision with sutures so they now appear symmetric. Dr. Parker performed an open rhinoplasty in the patient shown here to re shape her tip cartilage into a symmetric appearance.

Excessive Width

If you think your nose looks good in profile but don’t like the thickness or the excessive width of your nose, you may wish to have that corrected. Treatment involves an open rhinoplasty.

In the patient shown here, Dr. Parker performed an open rhinoplasty. He then removed excessive fat beneath the skin, removed excessive cartilage from the nasal tip, and inserted cartilage grafts to give the tip more definition. In addition, he removed a wedge of skin and fat from the sides of the nose (where the nostrils join the cheek, known as the alar bases) to reduce the width of the nose.

Too Large a Nose

Some noses are just too large in all dimensions and are out of proportion to the face. Very large noses can be reduced to a moderate size—but not to a very small size.

In the patient shown here, Dr. Parker performed an open rhinoplasty. He removed the excess nasal tip cartilage and used sutures to create a smaller and more defined nasal tip.

Too Long a Nose

If you have an excessively long nose, you probably inherited it as a family trait. This problem can be corrected using an open rhinoplasty. The excessively long tip cartilage is shortened and lifted with sutures into a more pleasing length and appearance. Dr. Parker, using an open rhinoplasty technique, did just that in the patient shown here, to create a more attractive, shorter nose.

Bumps

A nasal bump can be an inherited trait or develop after an injury. It is caused by over development of bone and cartilage, if inherited, or by the deposit of scar tissue over this area following trauma. Either way, treatment involves removing the excess bone, cartilage and/ or scar tissue until the profile is smooth. The patient shown here demonstrates correction of a dorsal bump using a closed approach.

Secondary Rhinoplasty

Patients may be disappointed with their results after an initial rhinoplasty. If it is something that the first surgeon cannot repair, these patients are often referred to Dr. Parker because of his extensive training and experience with rhinoplasties. An open rhinoplasty is almost always performed by him because of the exposure it affords to correct abnormalities of the bone and cartilage under direct vision. In the patients shown here, Dr. Parker performed an open rhinoplasty to shape the bone and cartilage into a more desirable contour, in each instance.

Additional Parker Center for Plastic Surgery Resources

• View before and after photos of rhinoplasty patients
• View our animated rhinoplasty procedure information
• Watch stories from real New Jersey facial surgery patients
• Read New Jersey facial surgery stories