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.

Patient privacy is very important to us and only patients who have given us special consent to use their photographs are on the website or blog. Some have requested certain features be blocked out and we honor those requests so you may see certain patients with their eyes blacked out.

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.

Widely respected for his advanced minimally invasive application of ground breaking surgical techniques, Dr. Sam Rizk's approach is based on philosophy that each individual procedure is tailored and customized to the individual needs of each patient. He uses minimally invasive endoscopic techniques to reduce downtime. Dr. Rizk is focused not only on a natural result but also on the speed of a patient's recovery. To optimize this intent Dr. Rizk uses preoperative as well as intraoperative and postoperative minimally invasive techniques and medications to achieve this rapid healing.

Rhinoplasty Before & After

March 25th, 2013

25 yo female wishes to improve drooping nasal tip, bump and bulbous nasal tip. Patient underwent open rhinoplasty with tip support with her own septum cartilage to achieve a better long term result of tip support. Tip was also refined with cartilage reduction and suture techniques, and bump was removed naturally. patient is shown 1 year after rhinoplasty.

Posted by Sam Rizk MD

Filed in Female Rhinoplasty, Rhinoplasty Before & After


Before	After

25 yo patient who was mainly interested in a profile reduction who underwent rhinoplasty to reduce bump and deproject the nasal tip. Patient is shown one year after rhinoplasty.


Before	After


30 yo Hispanic/Dominican female interested in rhinoplasty. Patient is shown 4 months after rhinoplasty to remove her bump, narrow her nose and nostrils and also correct her saddle nose deformity above her tip. Ethnic rhinoplasty entails structural grafts in the tip to achieve structural support and definition. Old techniques of Excision of cartilage alone does not achieve a natural outcome. Notice patient’s nose was not rotated because patient is tall and this nose fits her face and body better. Also she is still swollen and the nose will become more refined with time.


Before	After

25 year old Indian female who wanted a front view improvement in her nasal tip with more definition. Patient underwent rhinoplasty to refine her nose bridge, tip and a conservative nostril reduction and is shown 1 year after rhinoplasty.


Before	After


29 year old female interested in rhinoplasty to reduce bump mainly but also refine tip. Patient underwent rhinoplasty from the open approach to reduce bridge and resculpt the tip cartilages. A slight tip rotation was performed as well. The open rhinoplasty approach was chosen since patient had thick skin and no tip support requiring grafting. Grafts are fixed in position better with open rhinoplasty. Patient is shown 1 year after surgery.


Before	After


29 yo female ethnic rhinoplasty patient with thick skin who had previous rhinoplasty who requests improvement in symmetry, breathing and definition. Patient underwent revision rhinoplasty with multiple cartilage grafts into tip and middle nasal vault to correct her breathing and cosmetic appearance. Patient is shown one year after revision rhinoplasty.


Before	After


18 yo African American patient who underwent rhinoplasty with medpor implant and nostril reduction. Patient is shown 6 months post-surgery and although there is still some tip swelling, the general structure of tip and dorsum is much more refined. Additionally the incisions of the nostrils are on inside of nostril rather than on outside where it joins the face.


Before	After


23 year old asian female complains of lack of tip definition as well as a deviated nose to the right. Patient underwent rhinoplasty with auricular (ear cartilage) graft into her nose to give her more definition. The patient’s own septum was too thin and inadequate for creating the definition necessary in her nose. Patient is shown one year after rhinoplasty with auricular cartilage graft.



Before	After

24 year old female who wanted a straighter nose from the front view and a slightly lower bridge from the profile. Patient did not want much change in her tip. The patient had a collapse on the left part of the nose from an injury and also had a deviated nasal septum to the right. The patient underwent a very conservative rhinoplasty and septoplasty and use of septum cartilage as grafts on the left part of her nose to make it appear straighter. The profile was also lowered very conservatively.



Before	After

25 year old Indian/middle eastern patient with typical ethnic rhinoplasty characteristics of thick tip skin, wide nostrils, drooping nasal tip and weak tip support. Patient also has frontal asymmetry of the nose. Patient underwent septorhinoplasty and nostril reduction. Cartilage grafts were placed in the patient’s tip from her own nasal septum to support and define her tip. The nostril reduction was performed from an incision on the inside rather than the outside of the nostril. The right nostril was much larger than left nostril before rhinoplasty. The bump was removed conservatively. Ethnic rhinoplasty patients do not like major nasal rotation up or a very low nasal bridge. Results are shown postoperatively at 1 year.


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.


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.

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Dr. Sam Rizk

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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.