Rhinoplasty in a man with a prominent bridge and deviated nose: before and after
Case fact sheet
- Patient: Man, 27 years old
- Reason: primarily for aesthetic reasons, due to a very pronounced easel; I also wanted to breathe better
- Starting nose: V-shaped dorsum with a very large bridge, tense nose and septum enormously deviated to the left, which twisted the entire nasal pyramid ("like the Leaning Tower of Pisa"); thin skin
- Technique: Structural rhinoplasty with ultrasonic instrumentation: lowered bridge leaving the dorsum smooth, spreader grafts on the dorsum and septal extension graft at the tip, releasing the tension of the junction between the columella and the lip
- Septum and turbinates: septoplasty and turbinates in the same surgery
- Approach: Remove the bridge and straighten the nose from the septum, maintaining the angle of the tip with respect to the lip to respect its masculinity
- Result: eleven months after the operation
- Entry: 1 night
- Anesthesia: general type TIVA
- Duration: 3 hours long.
A young man with a very large bridge, V-shaped dorsum, tense nose, and a deviated septum to the left, which twisted the entire nose. Structural rhinoplasty with ultrasonic instrumentation without rotating the tip, to respect his masculinity, with photos taken eleven months later.
Photos taken eleven months after the operation
The "after" photos are from her February 2020 follow-up, eleven months after the surgery. From the front, the deviation has improved substantially; from the side, the dorsum is smooth and the tip maintains its angle relative to the lip.
Comment by Dr. Gustavo Sordo
Reason for consultation
She consulted primarily for aesthetic reasons, although she also wanted to improve her breathing. What bothered her most was a very pronounced hump.
What I observed when evaluating it
A V-shaped dorsum with a very large bridge, on a tense nose, and a significant deviation of the septum to the left that deviated the entire nasal pyramid, in a "Leaning Tower of Pisa" shape. The skin was thin and delicate, revealing even the slightest irregularity.
What was important to preserve
His masculinity. It was very important not to rotate the tip upwards: it remained at the same angle to the lip as before, without excessive rotation that would feminize the nose.
My surgical approach
A structural ultrasonic rhinoplasty to resolve both the hump and the deviation.
Why I chose this technique
When the entire septum is deviated, removing the bridge is not enough: the internal support must be straightened so that the nose is centered. And in a nose under tension, the tension at the junction between the columella and the lip must be resolved without changing the angle of the tip.
What I did during surgery
I reduced the bridge of the nose, leaving the dorsum smooth, placed spreader grafts on the dorsum, and a septal extension graft at the tip, resolving the tension at the junction between the columella and the lip without rotating it upwards. In the same surgery, I corrected the septum and the turbinates.
What is observed in the result
The deviation has improved substantially, as has nasal function. The bridge is smooth, and the tip retains its masculine angle, with sizes and proportions consistent with a man's nose. Despite the thin skin, where any slight irregularity is usually noticeable, none is visible.
More cases of rhinoplasty in men and deviated septum surgery can be found in their compilations; the technique and the rest of the cases are on the rhinoplasty in Madrid page. What changes in a man's nose is explained in the rhinoplasty guide for men on the blog.
Case operated on by Dr. Gustavo Sordo
Specialist in Plastic, Aesthetic and Reconstructive Surgery. Member No. 282858125.
Regarding this intervention
The ultrasonic scalpel allows for more precise bone work and typically leaves less bruising. It truly makes a difference in ultrasonic rhinoplasty.
Do you want to know if this can be done in your case?
The first consultation is with Dr. Sordo, either at the Chamberí clinic or via video consultation. You'll leave knowing if you're a candidate, which technique is right for you, and how much it costs.
Dr. Gustavo Sordo · Member No. 282858125 · Plastic, Aesthetic and Reconstructive Surgery · Madrid