BEFORE & AFTERS

Cosmetic Rhinoplasty

Profile improvement by reduction of the hump on the bridge and elevating the nasal tip in this San Francisco rhinoplasty patient.


Young San Francisco woman with correction of hump on the bridge and slight elevation of the tip. Rhinoplasty allows for the overall profile to be changed from a “hooked” appearance to a natural straight orientation. See her video testimonial about her nose job with Dr. David W. Kim.

Correction of very wide, bulbous nasal tip in this San Francisco woman. Correction required conservative reduction of tip cartilage and structural cartilage grafting during rhinoplasty to change the shape of the tip from square to triangular.

Nasal obstruction and hooked, crooked nose. Nasal septum externally and completely re-structured during rhinoplasty to improve breathing and straighten nose. Profile improved by lowering the hump on the bridge and slight elevation of the nasal tip – some curvature of the bridge left to preserve some of the patient’s ethnic features.

This Marin young woman had problems breathing through her nose and also wanted some refinement of the tip and bridge.  Dr. Kim performed a rhinoplasty with tip elevation and refinement along with nasal airway surgery to improve her breathing.

This young man had rhinoplasty by Dr. David Kim to refine his nasal tip, narrow the nostril base, and improve his profile.  Dr. Kim used structural techniques to create better shape and proportion despite the patient's thick skin covering.

This young woman desired refinement of the nasal tip, reduction of the bridge, and elevation of the tip of the nose. Dr. Kim performed a rhinoplasty through an open structural approach.

Dr. Kim helped this Bay Area woman attain a more refined nose through augmentation (elevation) of a low upper bridge and reduction (narrowing) of a wide tip. By augmenting above and reducing below, the nose becomes more refined and better balanced.

This Bay Area young woman desired cosmetic refinement of her profile and hanging nasal tip.  Dr. Kim corrected performed rhinoplasty to elevate the nasal tip and lower a high nasal bridge.

Dr. Kim performed tip refinement, elevation, and counter-projection for this young woman.  The tip was effectively narrowed, lifted and brought closer to the face.

This young woman from Marin complained of nasal obstruction as well as a desire for nasal refinement.  Dr. Kim corrected her obstruction as well as lifting the tip of the nose and trimming down the bridge.

Correction of an outwardly curved high bridge (convex hooked nose) to a better, straighter profile.



Young man with severe traumatic injury to nose. Had a deep laceration through the skin and cartilage of the nose with the scar tissue causing upward pull of the nasal tip. Cartilage graft reconstruction with rhinoplasty was used to restore length and strength to the nose.

Asian Bay Area patient with desire to make his nasal tip and base more symmetric and narrow. Alar base reduction and structural cartilage grafting performed.  His very thick skin envelope required an approach involving a conservative reduction of skin thickness and re-shaping of the nasal cartilages.

Rhinoplasty for San Francisco woman. Correction of wide nasal tip and hooked appearance of nasal side view.


Rhinoplasty surgery performed to lengthen a congenitally short nose. Lengthening the nasal tip created a more masculine appearance to the nose.


Young San Francisco Bay Area woman sought nasal surgery to correct a narrow pinched nose and prominent hump on her bridge. Cartilage grafting and reduction of the bridge performed during rhinoplasty.


Asian Bay Area patient with desire to make his nasal tip and base more symmetric and narrow. Alar base reduction and structural cartilage grafting performed.

This young Bay Area woman had rhinoplasty by Dr. Kim for elevation and refinement of the nasal tip and reduction of a hump on the bridge for a more balanced and feminine shape

This young Bay Area woman sought rhinoplasty by Dr. Kim for elevation of the nasal tip, alignment of her nasal profile, and reduction of her nostril flare

Correction of a bulbous tip on the front view and improvement of hump on the bridge and hanging tip on the side view.

Dr. Kim performed rhinoplasty on this young woman in order to straighten the curved contour of her nose on profile. This was accomplished with dorsal reduction and tip elevation.

Dr. Kim performed rhinoplasty on this San Francisco woman with desire to straighten the nose on the front view and correct the hooked orientation of the nose on the side view. Profile improvement was accomplished with dorsal reduction and tip elevation.

Rhinoplasty correction of isolated nasal tip and flared nostrils with tip reconstruction with cartilage grafting for this San Francisco Bay Area patient.

           


Patient wanted to preserve his strong ethnic features but soften the severity of his curved nasal profile. Dr. Kim performed a conservative reduction and tip elevation to achieve this goal.

Patient wanted to preserve her strong familial features but soften the severity of his curved nasal profile.

Correction of a very low hanging nasal tip with poor support and hooked nose through structural re-orientation rhinoplasty with cartilage grafting. Goal was for conservative change in order to retain general shape of the nose while “softening” its features.

This young woman wanted to smooth the appearance of her nose from the front and elevate the hanging tissue (columella and infra-tip lobule) below the tip of her nose between her nostrils.  Dr. Kim successfully created these changes through structural rhinoplasty.

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Revision Rhinoplasty

Severe deformity caused by previous reduction rhinoplasty in this San Francisco Bay Area woman. Pinching and irregularities of the tip caused by over-aggressive reduction surgery. Correction required complete restructuring and camouflage cartilage grafting.

Patient had severe distortion and nasal obstruction from previous rhinoplasty. In this revision rhinoplasty, Dr. Kim grafted structural cartilage to restore normal architecture and strength to nose.

This Bay Area woman had previous rhinoplasty but wished that the tip of her nose was less prominent.  Dr. Kim performed a finesse revision rhinoplasty to reduce the prominance of the tip. 

Revision rhinoplasty. Patient suffered from pinching, obstruction and irregularities from prior rhinoplasty. Dr. Kim restored strength and support to the nose with cartilage grafting and opened the nasal airway for breathing with septal surgery.


Revision rhinoplasty. This San Francisco patient had severe injury many years previous and an attempt at correction with small rib graft reconstruction. Original graft was too small and was replaced by Dr. Kim with a larger rib graft placed to the bridge and tip of the nose. Much better appearance and breathing resulted.

This Bay Area man had severe trauma to his nose.  Despite a previous rhinoplasty, he continued to have breathing problems and instability of the nasal framework. Dr. Kim used rib cartilage to re-support the nose, improve the breathing, and smooth the irregular contours of the nose.


Revision rhinoplasty. Young Bay Area woman with burn injury to the nostril during prior surgery causing webbing and obstruction. Dr. Kim opened the nostril with a composite skin and cartilage graft from the ear.

Functional / Cosmetic (Hybrid) Rhinoplasty

Nose surgery for breathing problems is often performed along with procedures to improve appearance at the same time.

Young San Francisco Bay Area woman with a crooked nose and nasal breathing problems from surfing injury. Rhinoplasty to straighten nose with repositioning the nasal bone and nasal septum. Improved profile by lengthening nose. Improved breathing by straightening the septum at the base. See Dr. Kim’s publication on Management of the crooked nose.

This young woman from Marin sought surgery to improve her nasal airflow as well as to improve the appearance of her nose.  Dr. Kim performed a hybrid functional-cosmetic rhinoplasty.

Dr. Kim performed rhinoplasty on this young Bay Area women who severely injured her nose in childhood. He corrected her severe breathing problem and severe crooked nose deformity by completely restructuring the nasal structure and septum with septal and ear cartilage.

This young woman initially saw Dr. Kim for severe internal nasal breathing problems. Dr. Kim was able to fix her nasal obstruction by straightening her crooked nasal septum and by using cartilage grafts to alleviate the nostril collapse she experienced when she breathed in deeply. She also wished to make some cosmetic changes to her nose. After surgery, she was able to breathe much better and had a more refined nasal tip with a more elegant slightly sloped profile. The contour of the side profile varies tremendously from individual to individual. For women, the contour should be straight or slightly concave (as seen in this patient). For men, the contour should be straight or slightly convex.

This Bay Area man had severe nasal obstruction and an unsightly bump on the bridge.  During rhinoplasty Dr. Kim executed a structural re-orientation of the nose and septum to improve both appearance and function.  The patient requested that Dr. Kim preserve some the natural curve of his nose on the profile in order to maintain some of his familial features.

This Bay Area woman had severe nasal obstruction and an unsightly bump on the bridge. Dr. Kim expanded the nasal airspace while aligning the profile of her nose by lowering the bridge and slightly elevating the tip. 

This young woman sustained a blow to her nose when a friend accidentally kicked her on a dance floor!  A severe nasal fracture caused her nose to become quite crooked and a bump to develop on her bridge.  She was also severely obstructed internally due to septal deviation.  Dr. Kim performed rhinoplasty, consisting of nasal bone repositioning, septal sub-total replacement, and reduction of the dorsal hump.  The surgery resulted in a nose that is straight from the front and side.  The breathing obstruction has been alleviated. 

This Bay Area woman sustained an injury to her nose when she fell.  She was severely obstructed internally due to septal collapse, which also caused the obvious external deformity.  Dr. Kim performed rhinoplasty, consisting of rib cartilage reconstruction of the septum and nose.  The surgery corrected the severe defomity and breathing obstruction.

This young man had great difficulty breathing through his nose and did not like the uneven contours of his nose.  Dr. Kim performed hybrid rhinoplasty to correct the traumatic nasal injuries.

This San Francisco woman complained of severe nasal obstruction as well as desire for cosmetic improvements of the nose.  Dr. Kim created both functional and aesthetic improvements through rhinoplasty.

This San Francisco young man had severe trauma to the nose creating a crooked orientation, nasal obstruction, and an unsightly bump on the bridge.  During rhinoplasty Dr. Kim executed a structural re-orientation of the nose and septum to improve both appearance and function.

This San Francisco young man had severe trauma to the nose creating a crooked orientation, nasal obstruction, and an unsightly bump on the bridge.  During rhinoplasty Dr. Kim executed a structural re-orientation of the nose and septum to improve both appearance and function.

Severely crooked nose from ski accident. Nasal bone repositioning and sub-total reconstruction of the nasal septum performed to straighten the nose during rhinoplasty.

Severely crooked nose from work accident. Nasal bone repositioning and sub-total reconstruction of the nasal septum performed to straighten the nose during rhinoplasty.

Dr. Kim performed a hybrid rhinoplasty to open the nasal airway and refine the appearance of this young Bay Area man.  Dr. Kim was able to preserve the strength and some of the familial features of his nose, as per his request..

This San Francisco man complained of severe one-sided breathing problems through the nose as well as a desire to improve the profile appearance of his nose.  Dr. Kim helped him achieve his goals through cosmetic and functional rhinoplasty.

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