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.

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.


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Before After
25 year old female who underwent rhinoplasty 8 years ago and was very dissatisfied with her nose. Her preoperative pictures shows the typical stigma associated with an overreduced rhinoplasty. Preoperative pictures shows the following deformities from the profile: Scooped out saddled cartilage bridge and a bony bump, overprojected tip with a hanging columella, pointy tip on the right. Preoperative picture from the front view shows the following deformities: open roof deformity near the bony top part of nose, inverted v deformity in the cartilage part of nose, pointy tip on right, and hanging columella. Postoperative pictures are shown after rhinoplasty with the use of septal cartilage graft. Additionally, patient could not breathe preoperatively secondary to a deviated septum and could breathe after that was fixed at the same time.


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Before After
46 year old female shown 1 year after rhinoplasty and neck liposuction. Rhinoplasty was endosnasal (from inside nose only) to lift tip and refine her tip in a subtle way and deproject her nose (bring it closer to face). Patient also underwent neck liposuction. At 1 year post-surgery, patient has fully healed and all the swelling has resolved.


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Rhinoplasty Before & After Photos

February 23rd, 2010

Before After
22 yo female from Dominican Republic who would like more refinement in her tip and nasal bridge. Patient has thick skin and is shown after 3D rhinoplasty with smooth tip grafts and nostril reduction. Notice also improvement in profile (more feminine).


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Before After
Before After
26 yr old female of African-American/Caribbean Descent underwent Rhinoplasty with multiple sculpted cartilage grafts and medpor implant and alar base reduction. Base view shows hidden scars, patient is 6 weeks post surgery and is still swollen. Final result takes one year.


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Before After
34 year old female with very THICK SKIN AND BULBOUS NOSE underwent open rhinoplasty with multiple tip and dorsal cartilage grafts and defatting of thick skin in 3D. Patient is shown 6 months after rhinoplasty with a more defined nose. Thick skin in rhinoplasty requires specialized techniques to achieve definition. Only front pictures are shown since there was very little change from the profile view.


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Before After
   
25 year old female who wants a more attractive nose. Patient underwent rhinoplasty consisting of shortening nose and also tip work to refine the tip. Patient is shown 6 months after rhinoplasty.
   


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Rhinoplasty Before & After Photos

December 28th, 2009

Before After
   
27 year old Hispanic female who had rhinoplasty to define nasal tip and remove her hump shown 5 years after endonasal (closed) rhinoplasty. Patient had an endonasal graft placement to define and support her nasal tip as well as defatting the thick tip skin.
   


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Before After
56 year old female who underwent facelift/necklift/partial browlift/blepharoplasty and rhinoplasty.


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Before After
   
25 year old female underwent endonasal rhinoplasty to narrow tip and remove nasal bump as well as rotate nose.
   


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Rhinoplasty Before & After Photos

November 30th, 2009

Before After
48 year old female with previous history of rhinoplasty unhappy with her front view irregularities and areas of collapse (worse on right side) and inability to breathe. Patient shown after revision rhinoplasty using septal and auricular cartilage grafts to correct multiple areas of deformities and collapses. Both spreader and alar batton grafts were needed as well as dorsal onlay grafts. Graft edges were smoothed using Dr. Rizk’s new graft sculpting technology. Only front pictures are shown as there was mainly front changes only.


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Rhinoplasty Before & After Photos

November 30th, 2009

Before After
26 year old female complains of nasal bump and lack of tip definition. Patient also had breathing difficulty. Patient is shown after septorhinoplasty with cap graft and columellar strut graft for nasal tip as well as bilateral spreaders as patient had a pinched mid-nasal vault. Bump was removed and tip was defined. Columella was hanging and was lifted as well.


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Rhinoplasty Before & After Photos

November 12th, 2009

Before After
27 year old Asian female who had a previous rhinoplasty with silicone implant which became infected and extruded through her tip and also became crooked. Patient underwent revision rhinoplasty with Dr. Rizk to remove silicone implant and Dr. Rizk used cartilage from inside her nose to lengthen her nose and define her tip.


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Rhinoplasty Before & After Photos

November 12th, 2009

Before After
29 year old Asian female who wanted a more refined nasal tip and to remove her bump. The rhinoplasty was done using endonasal techniques in 3D with no external incision. Cartilage was harvested from patient’s septum to create tip definition.


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Before After
22 yo Middle Eastern female interested in rhinoplasty. Patient underwent 3D endonasal rhinoplasty and is shown after surgery. Patient also had repairs to the deviation of the nose to the left at the same time and refinement of her nasal bridge and tip. Dr. Rizk likes this type of high bridge on this patient because it matches her face, cheeks and chin very well.


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Before After
   
35 yo female South American/Latino patient who underwent revision rhinoplasty to straighten the nose as well as remove the bump (actually we call this a pollybeak because it is mostly cartilage). The bony bump was overresected and the cartilage bump was underresected. Patient is shown at 1.5 years postoperatively.
   


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Before After
22 year old latino/hispanic female who is shown before and after rhinoplasty with multiple tip grafting and nostril (alae) reduction. This nose has very thick skin and very weak tip support and cartilages. To achieve this result, it was necessary to use 3D rhinoplasty with multiple cartilage grafts sculpted and smoothed with a specialized patented method by Dr. Rizk. Cartilage grafts were obtained from the septum inside the nose. Dr. Rizk’s methods for cartilage sculpting achieves a smooth instead of a pointy contour.


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Before After
   
25 year old patient interested in subtle improvement in length of her nose and tip. Patient is shown after rhinoplasty using the 3D endonasal technique. Notice the nose is shorter, bump is removed and tip is smaller and straighter.
   


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Before After
36 year old hispanic female who requested mainly a frontal change in width and size of her nose and nostrils. Patient is shown after open rhinoplasty with alar (nostril reduction). Patient is not fully healed yet, swelling continues to diminish for up to a year after the surgery.


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Rhinoplasty Before & After Photos

September 29th, 2009

Before After
23 year old female wanted to improve the tip definition, projection, and profile change in her bump. Patient is shown 3 months after 3D high definition rhinoplasty with use of smoothed sculpted tip grafts.


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Rhinoplasty Before & After Photos

September 18th, 2009

Before After
   
35 year old doctor who has had previous rhinoplasty with severe difficulty breathing and crusting/dry nose. She also has a mild saddle nose on profile and on frontal view, external nasal valve collapse was worse on the right. Patient is shown after endonasal 3D rhinoplasty with ear cartilage grafts to correct the collapsed areas. Patient is shown 3 weeks after surgery. Patient went back to work 1 week after surgery.
   


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Rhinoplasty Before & After Photos

September 11th, 2009

Before After
After
15 year old female who wishes to improve her nose. Patient had a 3-D high definition rhinoplasty with multiple tip grafts to achieve tip definition. Patient had a pain-free recovery and is shown 6 weeks after surgery. She is still swollen.


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Before After
55 year old woman who requested only a profile change in her nose. Patient did not like her bump and drooping nasal tip. Patient is shown 1 month after rhinoplasty using the 3D endonasal (from inside only) approach.


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Before After
Female patient from London who came specifically to New York seeking Dr. Rizk’s signature 3-Dimensional High Definition Rhinoplasty technique. She had a Rhinoplasty with nostril reduction and is shown here 1 month post-operatively.


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Before After
26 year old female who just wanted her profile changed conservatively. Patient underwent endonasal rhinoplasty using the 3D-high definition technique.


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Copyright © 2009 Dr. Samieh Rizk, New York Rhinoplasty Surgeon.
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