Description:

Description:

Improvement Focus: Dorsal Over-projection, Dorsal Width, Dorsal Irregularity, Tip Width and Shape, Short Nose, Major Septal Deviation

Technique: Open, Utilization of PDS Mentor / Johnson & Johnson Absorbable PDS Structural Sheet, Alar Base Reduction

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

Graft Source: Septal and Costal Cartilage

Patient Story: This patient is a nurse who is employed in the same practice as Dr. Weinfeld in Austin, Texas. While she does not recall a specific trauma, she had several misshapen elements to her external nose and severely deviated septum. Her goals related to both functional change and appearance change. She underwent a complex rhinoplasty. Do to complete derangement of her septal cartilage it did not provide the grafting material that was required for restructuring of her nose. Thus, rib cartilage was harvested to help provide additional material to make the required grafts. Additionally, an absorbable structural sheet was used to provide internal support as the tissues healed. She has been very pleased with her improved form and function.

Description:

Early followup(1 month) for deep plane facelift and neck lift. Patient is in her mid 50’s. She immediately reported feeling if she looked at least 20 years younger.

Description:

Description:

Improvement Focus: Dorsal Tip, Poor Tip Support

Technique: Open Rhinoplasty

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

Graft Source: Septal Cartilage

Patient Story: This patient is woman from Central Texas with the primary cosmetic concern being her significant dorsal hump. The narrowness of her bridge and its projection was problematic and had negative ramifications in the appearance of the remainder of her face. For example in the pre-operative photographs one sees that her eyes appear to be too close together. She underwent a rhinoplasty with normalization of her dorsal height and width. The pre-operative “closeness” of her eyes is an optical illusion of sorts that appears to be “undone” when a well-executed advanced rhinoplasty is performed. This is another example of the fact that the nose is the aesthetic bulls-eye of the face. Its appearance affects the appearance of all of the other facial features.

Description:

Facelift and neck lift – Three month followup. Impressive transformation and the scars are already difficult to see even with the hair pulled back.

Description:

Description:

Improvement Focus: Crooked Nose, Dorsal Hump, Tip Shape

Technique: Open Rhinoplasty

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

Graft Source: Septal Cartilage

Patient Story: This is a young woman from the Waco, Texas area. She suffer nasal trauma as a child resulting in a severely crooked nose. She desired that her nose was straighter and she also wanted to reduce her dorsal hump (bridge bump) and refine the shape of her tip. She underwent a rhinoplasty by Adam Bryce Weinfeld, MD, located in Austin Texas, and has been very happy with her results.

Description:

Description:

Improvement Focus: Dorsal Hump, Bulbous Tip Shape, Tip Under Projected

Technique: Open Rhinoplasty, Alar Base Reduction

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

Graft Source: Septal Cartilage

Patient Story: This is a young woman who is originally from the Rio Grande Valley who was going to school in San Antonio. She came to visit Dr. Weinfeld to undergo a Rhinoplasty to refine and reshape her nose. Her surgery achieved her desired results and her recovery was rapid.

Description:

Long term followup from facelift, neck lift, facial fat grafting, upper and lower blepharoplasty. The significant transformation has endured and the scars are almost invisible.

Description:

Immediate follow up (one week) for rhinoplasty with rib graft for saddle nose deformity caused by Wegner’s Granulomatosis.

Wegner’s Granulomatosis is a inflammatory disorder of blood vessels and surrounding tissue. It often results in severe tissue damage leading to collapse of nasal structures.

Description:

Two month follow up from deep plane face and neck lift, fat grafting and endoscopic brow lift.

Description:

Long term follow up (greater than one year) for rhinoplasty to reduce hump on profile view and and straighten nose in the front view.