Body by Fisher

Nasal Surgery is one of the most personal forms of facial surgical change. Customizing the design of the nasal shape requires several planning sessions before surgery so we can provide our patients with unique and personalized results.

Rhinoplasty, or surgery to reshape the nose, is one of the most common of all plastic surgery procedures. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils or change the angle between your nose and your upper lip. It may also correct a birth defect or injury or help relieve some breathing problems.

Rhinoplasty usually takes an hour or two, though complicated procedures may take longer. During surgery the skin of the nose is separated from its supporting framework of bone and cartilage, which is then sculpted to the desired shape. Finally, the skin is redraped over the new framework.

When the surgery is complete, a splint will be applied to help your nose maintain its new shape. Nasal packs or soft plastic splints also may be placed in your nostrils to stabilize the septum, the dividing wall between the air passages.

After surgery and particularly during the first twenty four hours your face will feel puffy, your nose may ache and you may have a dull headache. You can control any discomfort with the pain medication prescribed by Dr. Fisher. Plan on staying in bed with your head elevated for the first day.

You will notice that the swelling and bruising around your eyes will increase at first, reaching a peak after two or three days. Applying cold compresses will reduce this swelling and make you feel a bit better. In any case, you will feel better than you look. Most of the swelling and bruising should disappear within two weeks or so.

If you have nasal packing, it will be removed after a few days and you'll feel much more comfortable. By the end of one or two weeks, all dressings, splints and stitches should be removed.

Most rhinoplasty patients are up and about within two days and able to return to school or sedentary work a week or so following surgery. It will be several weeks, however, before you are entirely up to speed. Dr. Fisher will give you more specific guidelines for gradually resuming your normal activities.


Female Rhinoplasty Before and After Photos - Procedures Performed by Dr. Fisher



Before
This patient desired a modest nasal change.


After



Before
She requested reduction of the curvature of the nose or "hump" reduction.


After



Before
The essential character of the nose is maintained while the undesirable element is reduced.


After




Before
Again this patient wished to reduce not eliminate character of the nose.
She also requested an upper eyelid lift.


After



Before
The nasal "hump" is reduced and the excess skin of the upper eyelids now does not cover her eyelashes.


After



Before
Now that the unwanted nasal and eyelid features are corrected, the next step would be reduction of facial pigmentation with skin therapy.


After




Before
A customized surgical approach is planned with our patients taking an active role in surgical decision making.


After



Before
Twisted noses and breathing problems often coexist with cosmetic issues and both need surgical attention.


After



Before
Hump reduction, a cartilage graft to the nasal tip and creation of a new roof of the nose eliminated the unwanted nasal features.


After

 
Male Rhinoplasty Before and After Photos - Procedures performed by Dr. Fisher


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Before
Here nasal hump reduction is required with a rebuild of the nasal tip.
Correction of the profile is enhanced with a chin augmentation.


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After


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Before
The nose is actually lengthened to strengthen the facial experience.
Chin augmentation balanced the surrounding facial features.


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After


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Before
Correction of the twisted nasal presentation is enabled by a dorsal nasal implant.
Breathing and functional improvement was accomplished as well.
Lengthening of the vertical elements of the face is the foundation of further improvement.

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After



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Before
This patient requested nasal tip reduction, elimination of lower eyelid furrows and thinning of the midface.

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After


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Before
This view emphasizes the nasal procedure and the improvement of lower eyelid furrows.

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After


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Before
Straightening of the nose was also a part of the plan as well as midfacial fat extraction.

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After



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Before
This result represents a ten year postoperative result.

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After


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Before
The surgical plan included tip reduction, nasal lengthening and profile enhancement.

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After


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Before
The tip of the nose has been rotated downward and forward and stabilized to provide a customized result which has remained stable during the ten year time period.

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After



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Before
Nasal tip rebuilding was part of the overall plan as well as enhancement of the jawline, and cheek areas.

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After


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Before
The nasal hump is slightly reduced and the nasal tip is now elevated.
The midfacial areas are enhanced with cheek implants.
The jawline is achieved with chin and mandibular angle implants.

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After


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Before
Precision planning is performed with active participation of our patients in deciding nasal profile, facial implant size and shape.
Patient input is essential for achieving results which are pleasing both to the patient as well as the surgeon.

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After


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