Description:

Neck contouring with liposuction: This woman underwent liposuction of the submental region and neck. The liposuction improved neck contours. In combination with the buccal fat pad reduction the liposuction has created the appearance of weight loss and has improved visualization of the jaw bone contours. Liposuction of the neck can create significant improvements and in younger people may be all that is required to improve the appearance. This woman is an example of how the improvement is profound, however it is not perfect. Some loose skin is visible and there is still some fullness to the overall contours. She is interested in having a neck and facelift in several years, but for now the neck liposuction has brought considerable satisfaction and has deferred those more involved procedures for now.

Description:

Description:

Technique: Open Revision / Tertiary Rhinoplasty (3rd)
Graft Types: Bilateral Spreader, Columellar Strut, Bilateral Alar Rim, Dorsal Onlay
Graft Source: Residual Septal Cartilage, Costal (Rib) Cartilage

Patient Story:

This patient is women in her mid-Twenties who suffered significant facial trauma the age of 5 years old when she fell face first only a bleacher seat. She had undergone a rhinoplasty to try to improve hear breathing in her pre-teen years and then a second rhinoplasty in her teenage years to improve her shape. Both of her surgeries were performed in Austin by a different Facial Plastic Surgeon. She was referred to Dr. Weinfeld by her primary care Doctor to discuss a tertiary (3rd) rhinoplasty to improve her breathing and appearance. She underwent a complex revision rhinoplasty with grafts from her own rib cartilage. Dr. Weinfeld believes a patient’s own rib is one of the best graft materials for revision rhinoplasty because of its long term durability. Some patients are initially apprehensive but later comment on the fact that the procedure is associated with much less discomfort than they initially expected. This procedure improved nasal length and projection in addition to refining shape, especially at the tip. Of special note is the use of the dorsal onlay gaft to restore dorsal projection and improve nasal length.

Description:

Description:

Improvement Focus: Dorsal Hump

Technique: Open Rhinoplasty

Graft Types: Bilateral Spreader, Columellar Strut, Sub-Domal, Bilateral Alar Rim

Graft Source: Septal Cartilage

Patient Story: This patient was referred to Dr. Weinfeld from a friend who was prior patient. She desired surgery to improve the shape of her nose. Her favorite element of her results is the absence of her dorsal hump now that her nose is very straight in profile from its take-off (nasion) to its tip seen in its side view.

Description:

Description:

Technique: Open Revision / Secondary Rhinoplasty
Graft Types: Bilateral Spreader, Columellar Strut, Sub-Domal, Bilateral Alar Rim
Graft Source: Residual Septal Cartilage, Costal (Rib) Cartilage

Patient Story:

This patient had previously undergone a closed rhinoplasty (“nose job”) in conjunction with septoplasty performed by a Facial Plastic Surgeon in Austin, Texas. The intent of the initial surgery was to treat a dorsal hump. Unfortunately, the surgery created significant dorsal contour irregularities. Based on an internet research her mother identified Dr. Weinfeld as a Plastic Surgeon in Central Texas with interest and experience with secondary rhinoplasty. She visited Dr. Weinfeld in his Austin office where they discussed revision rhinoplasty options. The patient’s goal was to have a smooth and straight dorsum, improved dorsal aesthetic lines, and tip refinement. She underwent an open revision rhinoplasty. Due to the fact that she had already had a septoplasty she only had enough cartilage to use for the columellar strut. Thus, costal cartilage was used for the remainder of the grafts. The incision was placed in the inframammary crease and was small so the resulting scar was very difficult to see. The patient was very happy with her results and subsequently her sister has elected to undergo a primary rhinoplasty with Dr. Weinfeld.

Description:

Description:

Improvement Focus: Mild Dorsal Hump, Tilted / Crooked Nose, Tip Shape with Visible Groove Centrally

Technique: Open Rhinoplasty, Functional Septoplasty, Turbinate Reduction

Graft Types: Bilateral Spreader, Columellar Strut, Sub-Domal, Bilateral Alar Rim

Graft Source: Septal Cartilage

Patient Story: This patient desired correction of her dorsal hump, crooked nose, and unusual tip shape. Furthermore, she had difficulty breathing through her nose which interfered with her passion for running. She underwent one procedure that improved both the appearance and function of her nose and its shape.

Description:

Description:

Technique: Open Revision / Secondary Rhinoplasty
Graft Types: Bilateral Spreader, Columellar Strut, Sub-Domal, Bilateral Alar Rim
Graft Source: Septal Cartilage

Patient Story:

This patient is in her early Thirties. Five years prior she underwent a “nose job” (in her words) by another Austin Cosmetic Plastic Surgeon under sedation anesthesia to remove a dorsal hump (a “bump” on the bridge). She was not satisfied with her result and identified Dr. Weinfeld as a Plastic Surgeon who has an interest and experience in revision rhinoplasty by doing an internet search. She was an informed patient and stated that she was interested in reducing her supratip deformity (the convexity seen toward the end of her nose on the profile view). She also felt her nasal tip was over rotated (too turned up) and wanted that corrected. She underwent a revision rhinoplasty and due to fact she had not had a septoplasty with her first rhinoplasty she was able to benefit from the use of septal cartilage for the grafts needed to repair her nose. Following her surgery she was very satisfied with the creation of a natural appearing supratip region, the de-rotation of her tip, and the refinement of tip shape. She is now considering undergoing an upper lid blepharoplasty by Dr. Weinfeld.

Description:

Description:

Improvement Focus: Excess upper eyelid skin, cheek decent with jowls, obtuse angle between face and neck with loose skin.

Technique: Cervicofacial Rhytidectomy (Face Lift, Neck Lift), Sub SMAS Dissection and Flap, Platysmaplasty, Upper Lid Blepharoplasty

Patient Story:

This patient is in her mid-sixties and is an artist.  Her husband, a senior hospital system administrator in Austin, Texas, became of aware of Dr. Weinfeld’s interest in advanced facial rejuvenation.  She desired neck contour improvement, reduction of jowls, and restoration or cheek position.  In addition, she wanted to reduce upper eyelid excess skin.  She underwent upper lid blepharoplasties and a facelift with necklift.  She has been very satisfied with the natural yet profound transformation.