Hi! I am Dr. Epstein. I am with a patient today who is around 10 weeks status post rhinoplasty of African American ethnicity. That is the only identifying characteristic I am giving so she can stay anonymous.
Her main complaint was that she wanted to preserve her ethnic features which we all agree is important but at the same time she was concerned about the width of her nostrils that especially extenuated when she smiled. You can see how wide her nasal tip appears on smiling. She has a pretty smile but this really became the focus, that very wide nostril area. You can see from another before view.
What I did for her was a combination of refining the tip, narrowing the nostrils. You can see her here and you can see how nicely she has healed and the greater symmetry. She is still a little bit off but there is just a limit to the amount of symmetry that I can create.
You can see if we look down at the bottom view she had an external approach. You cannot even find the incisions, barely if at all perceptible. I also made incisions inside the nostrils to go ahead and deal with the nostril narrowing. You can see I was able to bring it in quite nicely.
Smile for me. You see when she smiles now she still has some widening but at the same time she goes ahead and it is a more refined look.
She is around 10 weeks post operative. We may want to do a little touch up at some point just to bring in one of the nostrils to create a little more symmetry but that was the challenge that she did have this asymmetry.
She is happy and she was nice enough to sit for the video.
Posted by Jeffrey Epstein, MD, FACS