On frontal view, the dorsum (bridge) was off to the right, nasal bones were asymmetric and the left bone was collapsed. There was a pollybeak on lateral view and the dorsum (bridge) had been over-resected (too much was taken) and the tip lacked definition.
Dr. Bustillo performs a thorough nasal examination of every patient’s nose. By doing this, he learns every detail, large or small, about the nose. He then plans every step of the procedure way in advance, before the surgery. This is the key to a well thought out rhinoplasty.
Computer imaging was done to demonstrate what the profile would look like.
She underwent an open revision rhinoplasty with Dr.Bustillo.
Dr. Bustillo prepares these operative diagrams for every surgery he performs to keep accurate records and to continuously learn from every rhinoplasty he does.
Dr Bustillo made lateral and medial osteotomies (to straighten and narrow) the nasal bones. An only cartilage graft was placed as well as a post-auricular SMAS/fascia graft.
The tip was improved by placing a columellar strut (a small piece of cartilage) that strengthens and supports the nasal tip. Special stitches were used change the broad and wide tip cartilages to a nice and defined tip. A small “cap” graft was then added to further define and shape the tip.
a deviation of the nasal bridge
to the right and a wide, bulbous tip.
straightened nasal bones and a defined
Pre-operative side view demonstrates an over-resected bridge
Computer simulated image
Post-operative side view demonstrates a straight profile, and a defined tip
Dear Dr. Bustillo,
I hope this email finds you and your staff well. It has been a year since my revision rhinoplasty surgery and I want to thank you for the life changing job you have done. Every time I look at myself in the mirror I smile and thank you a million times. The results look so natural and I’ve received so many compliments that it has made me very confident and comfortable in my own skin. I also want to thank your friendly and attentive staff for making each of my visits a pleasant one. I am amazed at how fast I recovered and the care that I received after my surgery. I am highly satisfied and will forever be grateful. You are a very gifted doctor and I will definitely recommend your professional expertise to others.
With a smile from ear to ear, thank you Dr. Bustillo!