Patient Photos

Twisted, pinched tip, pollybeak deformity and increased columellar show

This gentleman had a septo-rhinoplasty by another physician about 7 years prior to his initial consultation with Dr. Thomas Lamperti. He reported that his bridge was now straighter on profile but that he had difficulty breathing. Dr. Lamperti identified a persistently deviated nasal septum along with a twisted nasal tip and collapse of the left supra-alar region (the area just above the left nostril on frontal view). On profile view one can see that the patient also has rounding of his tip (also called a polly-beak deformity) and excessive columellar show and alar retraction. The patient is shown before and just 3 months after (with attendant swelling still evident) undergoing a revision septorhinoplasty. On frontal view one can see that the patient still has a significant amount of swelling to his tip. On base view a more symmetric tip is evident. The profile view shows the patient's preoperative computer imaging in the middle pane and the 15 month result on the right. Already there is a more natural tip contour with a reduction in the amount of columellar show and alar retraction.