Rhinoplasty is by far the most demanding of all plastic surgery procedures. A revision rhinoplasty is even more challenging. The appearance as well as function of the nose are at stake. Fortunately, Dr. Funcik is also board certified in ent, so he can improve the function as well as the appearance of your nose. Please remember that no nose is perfect and no nose can be made perfect. sometimes, even the most skilled surgeon and compliant patient require a second minor procedure or adjustment. Dr. Funcik has been referred some of the most difficult revision rhinoplasty procedures by other plastic surgeons. Warning: some images show intraoperative procedures. Viewer discretion is strongly advised.
Case 1901: This is a beautiful woman who wanted a more feminine-appearing nose. She objected to her dorsal hump and wanted the tip narrowed, shortened and elevated slightly so that it would better blend with the natural curves of her beautiful face.
Case 42133: This is a beautiful young woman who presented with an impressive dorsal hump, as well as an overprojected and somewhat broad and ill-defined nasal tip. We managed to rectify her hump and shorten her nasal tip and give her a more refined appearance.
Case 3620: This woman was beautiful even before her rhinoplasty, but she always felt like her tip was a bit bulky and prominent with a small nasal hump. We managed to soften her nasal profile and give her a more feminine appearance.
Case 2334: This was a mature individual who had a very dependent and somewhat asymmetrical nasal tip. As the nasal tip descended with time, her bony hump became more of an issue. We managed to reduce her hump and give her a more elevated, youthful and narrow tip.
Case 2106: This is a pretty, mature woman who wanted a natural result. She was concerned about the overall size of her nose, the length and droopiness of the tip, as well as a dorsal hump. She wanted a natural-appearing reduction and a refinement. We managed to decrease the overall size of her nose, give her an aesthetically pleasing profile, soften her features overall, and give her a more refined and symmetrical tip.
Case 2134: This is a beautiful young woman who felt like her nose was just a bit overall too large and was concerned about a slight dorsal hump and a slight overprojection of the tip. We managed to remove her hump and give her an aesthetically pleasing profile, as well as shorten, elevate and slightly narrow the tip.
Case 2282: This was an extremely challenging revision case. The patient had undergone two previous rhinoplasties. Although her nasal aesthetics were not that bad, on the frontal views she had a wide bony dorsum with palpable and visible bony irregularities, as well as an overprojected and poorly-defined tip. She wanted her overall nasal appearance improved.
The intraoperative photographs show how twisted and distorted her tip cartilages were. We managed to free these up from scar tissue and put them in a more anatomical position while simultaneously rectifying her bony irregularities, narrowing, elevating and shortening her nasal tip.
Case 1900: This is a handsome young man who felt like his nose was too large. He objected to his dorsal hump as well as a hanging columella. He wanted a natural-appearing result. We reduced his hump, shortened his columella and refined his nasal tip.
Case 47181: This is a beautiful young woman who felt like her nasal tip was a bit prominent in that between the nostrils she had a hanging and broad columella, as well as a somewhat overprojected tip, shortened upper lip and a bit of a dorsal hump. We managed to give her a pleasing nasal profile and a more aesthetic and natural-appearing tip.
Case 2311: This was a beautiful young woman who presented with a very broad nasal dorsum, a broad nasal tip which was lengthy and hanging, as well as a very sizeable dorsal hump. We managed to eliminate her nasal hump and give her a more refined nasal tip profile.
Case 2317: This was a beautiful young woman who had an overall large nose with a dorsal hump, as well as an overprojected and dependent tip. We managed to remove her hump and shorten, elevate and refine her tip.
Case 2305: This was a challenging revision case. The patient was left with dorsal irregularities, a small inverted V-type deformity, an overprojected and dependent, twisted tip with excessive columellar show in the lateral view. We managed to make this tip more uniform and elevate the tip while improving the patient's nasal profile. The intraoperative photographs show how utterly distorted his tip cartilages were at the time of revision.
Case 2301: This is a beautiful young woman who felt that her nose was a bit large. Her tip was somewhat bulbous and ill-defined, and she had a bit of a low dorsal hump. We managed to reduce her hump and give her a pleasing profile, as well as shorten and narrow the tip.
Case 2323: This was a beautiful young woman who had a prior history of nasal trauma and a nasal fracture that had not been repaired. Preoperatively, she had curved depressions on her bony dorsum, as well as an overprojected tip. We managed to substantially straighten her nose and give her a more appealing and uniform nasal tip.
Case 2339: This is a beautiful young woman who had an overall pleasing nose, but the tip lacked definition and she had a bit of a dorsal hump. We managed to refine the tip and reduce her nasal hump.
Case 3627: This is a very beautiful young woman who had an acceptable nose pre-operatively, but wanted her tip more narrow and refined, and wanted her small nasal hump diminished.
Case 2345: This was an incredibly challenging revisional case. The patient had multiple nasal fractures and multiple attempts at repair. He was left with a near hopelessly irregular dorsum with cutaneous scarring, as well as a horribly deflected nasal septum which gave him a "boxer's deformity," also known as a "saddle deformity," a dependent tip and a very compromised nasal airway. The operative photographs illustrate how some of his ear cartilage was used to replace the cartilage that had been devastated. The subnasal view shows how his nasal airway was essentially completely obstructed.
Case 2000: This case is a very pretty young woman who felt like her nasal tip was a bit large, broad and dependent, that her nasal columella hung just a bit, and she objected to her nasal tip. We managed to narrow and elevate the tip, narrow her dorsum and give her an aesthetic profile.
Case 1999: This was a very challenging revision case. The patient had undergone previous rhinoplasty and was left with a malformed, overprojected, dependent, twisted, asymmetrical nasal tip, as well as bony irregularities on the dorsum. We managed to give him a pleasing nasal profile, decreased his columellar show, make the tip substantially smaller and more symmetrical, as well as give him a nicely balanced profile. The intraoperative photos show how asymmetrical the tip cartilages were once they became exposed. This was rectified by placement of a strut (the yellowish straight piece of cartilage between the tips). We were able to make his tip much more, if not perfectly, symmetrical.
Case 2291: This was another extremely challenging revision case. We had a beautiful young woman who was left with an extremely malformed, surgical-appearing nasal tip, as well as an inverted V deformity over the nasal dorsum. The remaining tip was overprojected. We managed to rectify her bony irregularities, reposition the tip and create a more narrow and much more uniform-appearing nasal tip.
Case 2303: This is a beautiful young woman who felt that her nose was a bit asymmetrical, that she had a small hump and that the tip was a bit overprojected and dependent. We managed to narrow and shorten her nasal tip, as well as reduce her nasal hump.
Case 2329: This was a beautiful young woman who presented with an asymmetrical nasal tip with extremely thin skin, as well as some irregularities on the dorsum. There may have been a prior history of trauma. We managed to smooth the irregularities in her dorsum and give her a more uniform tip, as well as decrease the small nasal hump.
Case 2298: This is a beautiful young woman who felt like her nose was overall a bit large for the remainder of her face. She had a bit of an overprojected nasal tip with a small nasal hump, as well as some bulbosity of the tip. Typically, we like the tip to be about half the width of the nasal base. We managed to reduce her nasal hump, narrow her bony bridge and narrow, elevate and shorten her nasal tip.
Case 47955: This is a very beautiful young woman who had no prior history of trauma, but still had some asymmetries in her nasal tip and dorsum, as well as a slight dorsal hump and a slightly hanging columella. We managed to give her a more pleasing profile and make her tip more symmetrical.
Case 2300: This was a patient who was a victim of domestic violence. Although the external aspect of the nose appears relatively unremarkable, the intraoperative photograph shows how devastatingly deflected her nasal septum was. The pale-appearing tissue is actually her nasal septum which illustrates that she had barely a slit of an airway.
This case was done under the American Academy of Facial Plastic Surgeries Face-to-Face Program where we take care of victims of domestic violence at no charge.
Case 2306: This was an extremely difficult revisional case. The patient was left with a bulky and distorted nasal tip, multiple bony irregularities causing blanching of the skin, an overly-narrowed middle third and a broad hanging columella. We managed to give her a more uniform dorsum and a more symmetrical and natural-appearing nasal tip.