Simple rhinoplasty. we just spiced it up! A little upward and made it narrower as much as possible. This American patient from Boston had a threatening car accident about 20 years ago. In the car accident the patient suffered nasal obstruction, skin injury and severe dislocation of the nasal bone and fragmentation. He has done 2 rhinoplasty surgeries in the past without any success. Here we used ear cartilage to improve his nose. Also he was suffering from adhesion and septal necrosis. The final results elicited a satisfactory post operative results due to his prior conditions. A patient who has done rhinoplasty a few years ago in tunisia and now is suffering from deviated nose and pointy tip and hanging columella and inverted v deformity. A patient had visited me from Norway this week to do a primary rhinoplasty procedure with a history of previous filler injections (nose). Typically patients who have a history of filler injections are at the risk of infections and should eliminate doing further injections. While non-surgical dorsum augmentation via dermal filler injections are an easy fix. I do not encourage them as there is a high risk of complications tha cna result from either the intravascular injection itself or the compressive effect of the fillers on the underlying vessels. In […] When the patient is suffering from high radix we had better remove upper segment of bony part much more in comparison to other patients in order to have smooth. A patient from Australia who has requested completely natural nose and hump removal and mild dorsal augmentation. A patient who has done 2 times rhinoplasty and thin skin, has come to us for tertiary rhinoplasty. she is complaining if, hanging columella, elongated nose, too pointy and sharp tip, deviation in septum and finaly surgical look. we made it shorter, upward, more natural. When the nose generally is not big but just the tip looks big and bulbous, it could be because of something we called it as malpositioned or cephalically oriented lower lateral cartilage. how do we fix it up? Secondary rhinoplasty. the patient who has done rhinoplasty 8 years ago and now augmented with dcif. A patient who has done surgery 1 year ago in belgium, now has come to us for revision rhinoplasty. she is suffering from downward tip, too much bony resection, and bulbous tip. We augmented dorsum with diced cartilage and fascia. and made the tip narrower and delicate and upward. This lady is coming from Russia who is suffering from septal deviation and thick skinned tip nose and downward tip. During surgery we had resected the dorsal hump, preformed tip refinement and osteotomy and spreader graft. As well as lower lateral cartilage reposition and alar base resection.