Female Rhinoplasty | NYC Rhinoplasty Surgeon, Dr. Sam Rizk

Dr. Sam Rizk has been chosen as a Top Facial Plastic Surgeon and Rhinoplasty Specialist by Castle Connolly, the #1 Organization which selects Top Physicians in every field based on recommendations by their peers. Dr. Rizk has also published his original techniques in many plastic surgery journals, which requires peer review by other plastic surgeons to deem it original and worthy of publication. Dr. Rizk is often selected by doctors, nurses, and other medical professionals to do their plastic surgery.

PHILOSOPHY STATEMENT:

Dr. Rizk's philosophy is a natural, balanced rhinoplasty in harmony with the rest of the facial features. This may sometimes mean a dramatically smaller nose if you are starting with a disproportionately large nose, or it may be a very subtle result. Some of Dr. Rizk's results are dramatic, others more subtle. Dr. Rizk also usually repairs the septum and shrinks the turbinates if they are blocking patient's breathing preoperatively. Patients usually breathe better after the procedure and if you look at most of his revision cases on the main website and blog, he actually builds collapsed and pinched areas to improve breathing with grafts. Additionally, he uses cartilage- conserving and grafting to achieve smaller and more proportionate noses in primary and revision rhinoplasty, which actually makes the nose structurally stronger over a person's lifetime. HE REMOVES very LITTLE cartilage, even in very bulbous tips, to achieve this definition. Additionally, his 3-D endoscopic techniques, is not just used to decrease swelling and bruising postoperatively. It also achieves a more precise long-term result. Furthermore, by decreasing swelling, you also decrease scar tissue formation, which improves overall long-term results.

Dr. Rizk's rhinoplasty approach emphasizes a strong nasal framework and structure to ensure LONGEVITY of an excellent FUNCTIONAL and COSMETIC outcome. Vital to the above philosophy is the use of grafts to support a structurally weak nose or a nose which becomes weak after a reduction. Dr. Rizk prefers to use the patient's own cartilage for grafting, whether from the septum, ears, or costal cartilage rather than foreign implants. Occasionally, if no cartilage is available for grafting, Dr. Rizk will use a synthetic implant. Dr. Rizk spends a great deal of time sculpting these grafts with a special instrument he pioneered to give the most natural and soft result. These supportive cartilage grafts prevent scar contracture over the nose's lifetime and diminishes the need for revision rhinoplasty.

Revision Rhinoplasty Before & After Photos

December 2nd, 2011


Before	After


26 yo female who underwent previous rhinoplasty who wanted further improvement in shape of her nose. She was unhappy with the boxy tip which was also overprojected as well has her bony bump (slight). She underwent secondary rhinoplasty with correction of the boxy tip as well as deprojection of the nasal tip (bringing it closer to her face) and reduction of the bony bump. Patient is shown 1 year after surgery.

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Before	After


13 year old female with history of 2 previous nasal fractures who developed a crooked nose with a nasal bump as well as difficulty breathing after her injuries. Patient was also teased and bullied regarding her nose. Patient showed other signs and symptoms of full growth such as a fixed shoe size and having had her menses. Patient is shown before surgery and early after surgery (2 weeks). Notice nose is crooked and tip is bulbous in addition to profile drooping and nasal bump. Realize also patient’s nose is out of proportion to her small face.


Before	After

23 year old female who wishes mainly a profile change in her nose. The bump was removed and the tip was deprojected slightly. Patient wanted a very natural result and no rotation of the tip. The rhinoplasty was done with the endonasal (closed) approach. Patient is shown 6 months following surgery.


Before	After


32 year old female complains of nasal bump and crooked nose to left as well as bulbous nasal tip. Patient also had difficulty breathing through the nose secondary to a deviated nasal septum. Patient is shown 4 months after septoplasty and rhinoplasty with bump reduction, tip support grafts, as well as spreader graft in right middle vault to correct a right sided middle vault collapse. Patient is still swollen in the tip but the nose looks straighter and more defined. The bump is reduced conservatively. Dr. Sam Rizk likes a strong bridge, not a scooped one and customizes the nose to the patients’ other features. Some profiles may be lower in some patients than others, depending on facial proportions and harmony.


Before	After


54 yo female with history of severe nasal trauma to nasal bridge/nasal reconstruction. Patient has a severe saddle nose, overprojected nasal tip, deviated nasal septum, and multiple collapsed areas in external nasal valve region. Patient underwent rhinoplasty, septoplasty, as well as medpor implant placement on nasal bridge. Patient had septal cartilage grafts to external nasal valve and nasal tip as well. Patient shown 4 weeks postoperatively. Patient was given options of rib versus medpor for the nasal bridge and chose the medpor instead after the advantages and disadvantages of each were given.


Before	After


26 yo Greek/Mediterranean patient who underwent rhinoplasty to elevate nose, remove nasal bump and narrow the tip. It is very common in Greek patients to require tip support and in this case a columellar strut was used to support the nasal tip. specialized sutures and cartilage grafts were used to define the nasal tip.


Before	After

34 yo latino/hispanic female interested in a profile change in her nose only. Patient has a history of nasal injury where she developed a nasal bump. Her tip cartilages were weak and required grafts to create more tip support. The tip was rotated slightly and the nose was shortened to create an aesthetically pleasing profile which fits the patient’s face.


Before	After


24 yo female who underwent revision rhinoplasty with Dr. Sam Rizk using banked rib cartilage and temporalis fascia to correct an overshortened, scooped nose with multiple areas of collapse secondary to previous rhinoplasties. Patient is shown 1 year following revision rhinoplasty with Dr. Rizk. The short nose is one of the most difficult deformities to correct.


Before	After


Patient is a 34 year old latino/hispanic woman who was interested in improving the deviation/crookedness in her nose as well as refining her nasal tip. Patient also wanted a more feminine profile. Dr. Sam Rizk has specialized techniques for ethnic rhinoplasty to achieve a natural and defined nose. This rhinoplasty patient underwent open rhinoplasty with grafts placed in her mid-nasal vault to make her nose appear straighter and grafts in the tip to define and support/lift the tip slightly and make the nose appear more feminine.


Before	After


44 year old female patient who underwent endonasal rhinoplasty to correct a collapse of the left nose secondary to an injury which also created a crooked nose to the right. Patient wanted also more tip refinement and a very subtle profile reduction. Patient had rhinoplasty endonasally in 3d with multiple nasal cartilage graft placement on the left side to correct the collapse as well as a conservative profile reduction and tip refinement. The grafts were harvested from the patient’s own nasal septum.


Before	After


43 yo female with a severe saddle deformity and absence of septal cartilage to use for reconstruction underwent reconstructive rhinoplasty to correct saddle nose deformity using banked rib cartilage and temporalis fascia (soft tissue obtained from above the ear). The bony bump was reduced, the nose was straightened, and the cartilaginous saddle collapse was built up. The rib cartilage was sculpted using Dr. Sam Rizk’s specialized microsurgical powered instruments to obtain a smooth result instead of the typical method using the surgical knife.


Before	After

	After 2 Years


26 year old female with a long nose and drooping tip shown preoperative and 6 months after surgery. Patient sent her own picture 2 years after the surgery as a followup.


Before	After

	After 3 years


Latino female in early 20’s who underwent endonasal 3d rhinoplasty and nostril reduction. Patient had thick skin and poor tip support which was addressed during the rhinoplasty. Patient sent her own picture 3 years after the procedure as a followup.


Before	After


45 year old female who had a previous rhinoplasty and presented for secondary rhinoplasty. Patient wanted a straighter nose and to make her nose longer. Preoperative profile photos show a very short nose and hanging columella. Preoperative front views shows a deviated nose and a collapse of the right upper lateral cartilage and a bone on the right that is not in properly. Patient underwent revision rhinoplasty (endonasal) with osteotomy on right bone and spreader graft on right cartilage collapse and multiple tip grafts to elongate the nose. Patient is shown 6 years after secondary rhinoplasty.


Before	After


22 year old Middle Eastern female underwent 3D endonasal minimally invasive rhinoplasty to remove the nasal bump and refine the nasal tip. This Middle Eastern rhinoplasty patient has a typical tip drop found in Middle Eastern rhinoplasty patients and the tip was also elevated. Dr. Rizk’s aesthetics is a feminine but natural profile as shown. Every nose Dr. Rizk performs is different as is every profile which must be in harmony with the rest of the face. Patient is shown post-surgery at 6 months.


Before	After


48 yo female complains of long nose, bump, and bulbous asymmetric nasal tip. Patient underwent endonasal rhinoplasty 3d to remove bump, lift tip and add a plumping graft at base of columella (columella-lip-angle) to support the nasolabial angle and make it less acute. As we age the tip drops more and the nasolabial angle becomes more acute. An important technique is the plumping graft using the patient’s own cartilage to achieve this.


Before	After


25yo female with a severe rhinoplasty deformity from a previous rhinoplasty with both a floating bone open roof problem as well as tip bulbosity. Patient actually has attachment of bone into thin skin in dorsum. Patient is shown 5 months after revision rhinoplasty.


Before	After


22year old Hispanic female shown 3 months after rhinoplasty with alar base reduction. Notice the nasal bump has been removed and the tip lifted and refined and nostrils reduced. This is an example of an ethnic rhinoplasty with thick skin. The skin was defatted and sculpted internally in 3d. Additionally, the patient’s own septum cartilage was used to build and define her tip.


Before	After


45 yo female who would like a refreshed look underwent facelift/necklift, upper and lower blepharoplasty and a subtle rhinoplasty-endonasal (incisions inside nose only). Patient is shown 2 weeks post-surgery and is still swollen but a noticeable improvement can be seen.


Before	After


22 year old female who underwent endonasal 3D rhinoplasty to lift her tip, remove her bump and narrow the tip. Patient is shown postoperatively. Note that patient has a history of using a nose ring on the left side and has a slight indentation asymmetry from the nose ring.


Before	After


25 year old Indian female with crooked and drooping nasal tip as well as severe deviated nasal septum. Patient underwent rhinoplasty and septoplasty with multiple cartilage grafts to define her tip as well as spreader and camouflage grafts to straighten her nose. Her tip was also lifted to achieve a more aesthetically pleasing profile.

December 2nd, 2011

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December 2nd, 2010

November 23rd, 2010

August 10th, 2010

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July 2nd, 2010

May 31st, 2010

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Dr. Sam Rizk

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Before	After

25 year old female complains about her tip as too boxy. Patient has separation of her lower tip cartilages and a saddle above her tip. This was corrected with cartilage grafts obtained from patient’s septum and suture techniques were used to make tip cartilages narrower. Patient’s deformities had resulted from a previous rhinoplasty and patient underwent secondary rhinoplasty with Dr Rizk to correct these deformities.


Before	After


18 yo female who did not like width of her bridge and tip from front. From the profile she did not like her underprojected, drooping tip and bump. Patient is shown 3 months after endonasal rhinoplasty.


Before	After


42 year old female who sustained a nasal trauma and fracture to her nose who underwent rhinoplasty endonasal (no external incisions) who is shown 6 years after rhinoplasty.