Preoperative Diagnosis: Nasal obstruction secondary to external/internal valve collapse, deviated septum, hypertrophic turbinates, submental and jowl lipodystrophy, platysmal banding, and microgenia.
Findings: Left greater than right external valve weakness, rim weakness, 3+ middle vault weakness and narrowing; septum with C-shaped deformity with anterior septum convex to right; 3+ spur at base of left airway on septum; twisted nasal bones; vertically-oriented LLC (lower lateral cartilages) with left LLC cephalad to right LLC; asymmetric domes with concave and wide left dome; boxy, splayed and bifid tip.
Comments: This patient desired an improvement in his nose and a more masculine chin. Post surgery photos reveal an improved, stronger profile.
“Since I was ten years old, my nose was broken playing baseball a baseball bat hit it. One of the kids swung the bat, hit the ball, and then threw the bat and hit me in the nose. But it healed and I was ok but as I’ve grown it started to deviate my septum a little bit to the side so I’ve always breathed through my mouth.
Because of the deviated septum I’ve always had a little bit of raspy-ness in my voice. I’m always having laryngitis. I also wanted to have a better, straighter, more aesthetically symmetrical nose. Because if I’m going to go through all the processes, I would also like to have it look as good as possible.
Up until Dr. Nassif, I had never been referred to someone that I really trusted enough, nor did the doctor make me feel comfortable enough to ever follow through with the surgery. And when Dr. Nassif sat down with me and I met with the different people in the office, everybody made me feel comfortable. Dr. Nassif made me feel at ease that he’d be able to do a really professional quality job. Just to be able to breathe a lot better and to have a much straighter nose, that’s going to be really cool I think. I have a lot of confidence in Dr. Nassif’s ability to keep it as comfortable as possible and make the process as positive as possible.”
Watch Jeff’s Facial Plastic Surgery Experience
Concepts Related to Jeff’s Procedure
Septoplasty: Septoplasty is a surgical procedure used correct the shape of the septum due to defects or deformities. The nasal septum is the separation between the nostrils. Septoplasty may be performed during a rhinoplasty procedure. When performed together, this is referred to as septorhinoplasty.
Turbinoplasty: There are three turbinates in each nasal pasage. Each one protrudes from the sidewall of the nose. The lower or inferior turbinate is by far the largest of the three. Turbinates are shaped like a scroll, and act to warm air before it passes on to your throat. Throughout the day, the turbinates periodically change size in a pattern known as the nasal cycle. That’s why at any given time, a person can usually breathe better out of one side or the other. Turbinoplasty is the operation performed to reduce the size of the turbinates. Usually, only the inferior turbinates need correction.