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:

65-Year-Old, One Year After High SMAS Facelift, Deep Plane Neck Lift, Fat Grafting, and Blepharoplasty

This 65-year-old patient was photographed approximately one year after undergoing a high SMAS facelift, deep plane neck lift, fat grafting, and upper and lower eyelid blepharoplasty. The results demonstrate how combining advanced facial rejuvenation techniques can restore youthful balance, volume, and definition with natural-looking results.

The high SMAS facelift shares similarities with the deep plane facelift—both involve repositioning deeper facial tissues to achieve long-lasting improvement in facial contour. However, the high SMAS technique differs in the extent of skin elevation and repositioning, making it particularly effective for certain facial structures and aging patterns.

In an aesthetic landscape where many surgeons perform only one type of facelift, Dr. Weinfeld offers both high SMAS and deep plane approaches, tailoring each to the patient’s unique anatomy. His comprehensive understanding of facial layers ensures results that look refined, natural, and harmoniously proportioned.

Description:

83-Year-Old Male, Two Weeks After a Secondary Facelift and Neck Lift

This 83-year-old male patient was photographed just two weeks after undergoing a secondary facelift and neck lift. More than a decade after his first facelift, he sought Dr. Weinfeld’s expertise to restore youthful definition while correcting the effects of time and prior surgical aging.

The most recent procedure lifted and reshaped the cheeks, reduced jowling, and eliminated excess neck skin, achieving a smoother, more balanced facial contour. In addition to improving overall facial shape, this surgery also provided an opportunity to refine incision placement, resulting in a more anatomic and natural positioning that will yield less noticeable scars as healing progresses.

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:

51-Year-Old, Five Months After Deep Plane Facelift, Neck Lift, Brow Lift, Blepharoplasty & Fat Grafting

This 51-year-old woman was photographed five months after undergoing a comprehensive facial rejuvenation that included a deep plane facelift, deep plane neck lift, endoscopic brow lift, upper eyelid blepharoplasty, and selective anatomic fat grafting.

Her before-and-after photos illustrate not only the lifting and tightening effects of surgery but also the powerful facial reshaping achieved through Dr. Weinfeld’s TriMax approach—a technique designed to optimize contour, balance, and projection across multiple facial planes.

Postoperatively, she displays refined neck contours, a more defined jawline, and elevated, youthful cheek positioning, with the complete elimination of jowls. The result is a natural, refreshed appearance that restores harmony to the face without appearing overcorrected.

Description:

Description:

Procedure: Upper Lid Blepharoplasty, Lower Lid Blepharoplasty (Subcilliary Approach with Canthoplasty) – “Quadralateral Blepharoplasty”

Patient Story

This patient knew of Plastic Surgeon Dr. Weinfeld from a relative who was one of his former patients. She visited with him in his office in Austin, Texas. She initially stated that she wanted an “eyelid lift.” After more conversation it became apparent that she wanted to remove the excess skin from her upper eyelids and smooth her lower eyelids. The patient and Dr. Weinfeld decided the best option for her was a combined upper and lower blepharoplasty (four lid blepharoplasty). Due to the laxity of her lower eyelids she required a lower lid canthoplasty (tightening of the lid) to prevent lid malposition post operatively. She recovered well and enjoys the results. Of note is the fact that Dr. Weinfeld recommended as special diet to reduce swelling and bruising and the patient adhered to it indefinitely following the surgery and has sustained weight loss that can be seen in the photographs.

Description:

65-Year-Old, One Year After High SMAS Facelift, Deep Plane Neck Lift, Fat Grafting, and Blepharoplasty

This 65-year-old patient was photographed approximately one year after undergoing a high SMAS facelift, deep plane neck lift, fat grafting, and upper and lower eyelid blepharoplasty. The results demonstrate how combining advanced facial rejuvenation techniques can restore youthful balance, volume, and definition with natural-looking results.

The high SMAS facelift shares similarities with the deep plane facelift—both involve repositioning deeper facial tissues to achieve long-lasting improvement in facial contour. However, the high SMAS technique differs in the extent of skin elevation and repositioning, making it particularly effective for certain facial structures and aging patterns.

In an aesthetic landscape where many surgeons perform only one type of facelift, Dr. Weinfeld offers both high SMAS and deep plane approaches, tailoring each to the patient’s unique anatomy. His comprehensive understanding of facial layers ensures results that look refined, natural, and harmoniously proportioned.

Description:

Description:

Improvement Focus: Dorsal Tip, Dorsal Line Irregularities, Tilted Nose, Nostril Asymmetry

Technique: Open Rhinoplasty, Functional Septoplasty, Inferior Turbinate Reduction

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

Graft Source: Septal Cartilage

Patient Story: This patient is a teenage who had breathing difficulty, a tilted nose, and a dorsal hump. She underwent surgery to correct these issues and has been pleased with her results. Her case demonstrates the fact that rhinoplasty can be performed as early as age 12 in women and 13 in boys so long as they are sufficiently emotionally and physically mature. While, this is the minimum age many patients and parents wait until the mid-teen years to undergo these types of procedures.