This patient suffered from the unfortunate consequences of an old fashion poorly performed rhinoplasty. It was done through a closed technique which limits a surgeon's ability to see the delicate cartilages of the nose that define the nasal tip and middle vault in a binocular fashion. In other words, the surgeon cannot compare the left cartlilage with the right while performing suturing which is supposed to be as exact as possible. He or she may think they performed an exact symmetrical maneuver whereas, in fact, a subtle asymmetry of half a millimeter was left behind. This often may have an aesthetic consequence which only becomes apparent several months after the closed rhinoplasty, when enough swelling has dissipated, allowing the asymmetrical irregularity to emerge.
She came to one of the worlds best rhinoplasty surgeons based in Beverly Hills, Dr. Randal Haworth to achieve somewhat of a correction. Since he was also performing concomitant procedures such as lip lifts, mandibular angle implants and pan-facial fat transfer, she elected to undergo a more conservative correction. She chose to have fat transfer to her nose to mask the irregularities, understanding that it would be an incomplete solution to her problems but would, nonetheless, provide significant improvement in symmetry and smoothness.
Approximately seven months follow ups are presented after top facial plastic surgeon and a rhinoplasty specialist Dr. Randal Haworth performed fat transfer throughout her face including her tear troughs, cheeks, lips and nose.