Rhinoplasty Overview Information for patients Template Rhinoplasty Address and information about Paul O'Keeffe News
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  Introduction
  Background
  Anatomical study
  History
  Dynamic tip
  Bridge support
  Photo planning
  Operation
  Results
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Template Rhinoplasty Results

These results represent one person's experience and there is no gurantee that any other patient will experience similar results.
The profile template is excellent for assessing the results of rhinoplasty. The template is keyed to the forehead for accurate assessment of bridgeline, tip projection and tip tilt. Pre-op planning on right and result checked with template on left

The described operative technique produces excellent profile matches for primary rhinoplasty. Secondary rhinoplasty is less reliable probably because there is some pre-existing slackness of the lateral alar ligament and reduction of the ligament length by the calculated length does not elevate the tip as much as expected. Thus, the secondary post-op profile may have a slightly drooping tip. This can be corrected by tertiary ligament shortening as an office procedure.

Very little supra tip swelling is seen post-operatively even when the nose is maximally reduced because the alar setback drives redundant skin to the lateral osteotomies. The alar cartilages are minimally reduced with this method and the overlying skin remains attached thereto.

Pre-op planning photo 1 month post-op Please point to pics for description
Life-size planning photograph for third example 1 month post-op, checking with template
Photo of a fourth example where a considerable rhinoplasty change is planned 15 months post-op, checking with template
Another photo illustrating substantial rhinoplasty changes 6 years post-op
Photo of a patient with a prominent nasal dorsum Photo of post-op result
Life-size rhinoplasty planning photograph 12 months post-op
Oblique view photograph of a patient with a long nose 6 weeks post-op. Template rhinoplasty and alar base reduction.
Photo of a man with a prominent nose 12 months post-op
Photo of a woman with a hooked nose Post-rhinoplasty profile
Photo of a man with a prominent nasal profile Post-rhinoplasty profile
Profile photo of a woman with a prominent nasal dorsum and a hooked nose tip 18 months post-op
Profile photo showing a small bump on the nasal bridge Photo of the rhinoplasty result
Profile photo of a patient with a long nose who requested minimal changes 12 months post-op. Note alar base reduction.
Oblique facial photo of a patient with a projecting nose tip 3 weeks post-op
Profile photograph of a patient with a prominent nose. Note how much the lip is dragged forward by the nose.
Full face photo of a patient with a bent nose Post-rhinoplasty the nose is much straighter
Previous rhinoplasty with supratip swelling Post-rhinoplasty the nasal profile is much improved
Septal collapse following septoplasty 4 weeks after septal and nasal reconstruction

Improvement in the nasal airway is the rule with this technique. This is particularly so if Cottle's test (lateral cheek tension improves the airway) was positive pre-operatively. Shortening the alar ligament stiffens the lateral nasal wall where it often collapses inward on inspiration. Snoring is usually improved as well.



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