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This patient presented after at least 12 previous nasal procedures, including GorTex placement and removal, numerous cartilage grafts from her ears and one from her chest. The markings demonstrate the areas of placement. One year after one procedure, you can see softening of the irregular cartilage along with an apparent thickening of the skin over the entire nose. The area between the eyebrows is slightly fuller with a lessening of the frown wrinkles.
62 year old presented with wrinkling of the upper nose, with flattening (left). Four years after placement of structural fat to the central upper nose and between the eyebrows, (right) the nose appears narrower due to a “tenting” effect. In addition the wrinkles are remarkably softened and even the eyelids are smoother from the distraction of the fat “ironing” out the sagging skin.
30 year old presented with a large tip, made more obvious by inadequate size of his upper nose. Before (left) and 15 months after one session of fat grafting to the upper nose. On the profile view, the distance between his eyelashes and his nose is remarkably greater. Just the addition of this subtle amount made him appear much calmer and handsome. No other procedures were performed.
This woman had four nose procedures and silicone injections to the nose (photos on left). Follow-up at one year after one fat grafting procedure (photos on right) reveals a remarkably more normal appearing nose. The upper nose flows more naturally into the lower nose, with a more distinct central light reflex and fewer irregularities. Placement into the nostril rim flattened the notching and appears to have pushed the nasal tip over to the middle from the right. Also, note the softening of the upper and lower eyelids with fat placement into these areas.