Description:

Description:
Rhinoplasty Revision with Rib Graft, 3 Months

Description:

Description:

Improvement Focus: Excess upper eyelid skin, cheek decent with jowls, obtuse angle between face and neck with loose skin.

Technique: Cervicofacial Rhytidectomy (Face Lift, Neck Lift), Sub SMAS Dissection and Flap, Platysmaplasty, Upper Lid Blepharoplasty

Patient Story:

This patient is in her mid-sixties and is an artist.  Her husband, a senior hospital system administrator in Austin, Texas, became of aware of Dr. Weinfeld’s interest in advanced facial rejuvenation.  She desired neck contour improvement, reduction of jowls, and restoration or cheek position.  In addition, she wanted to reduce upper eyelid excess skin.  She underwent upper lid blepharoplasties and a facelift with necklift.  She has been very satisfied with the natural yet profound transformation.

Description:

Description:

Improvement Focus: Dorsal Hump, Fullness in Nasal-Labial Angle, Tip Shape and Visible Groove

Technique: Open Rhinoplasty

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

Graft Source: Septal Cartilage

Patient Story: This patient originally from South America came to visit Dr. Weinfeld in his Austin office to discuss rhinoplasty. Both she and her mother were very particular about the look that was desired. She wanted her nose to be more delicate and refined. She underwent surgery and was pleased with the results. She later referred her sister, from Washington, D.C., to Dr. Weinfeld to undergo Breast Augmentation.

Description:

4 1/2 months after revision rhinoplasty. She had 2 prior surgeries – this was her second revision. Her first 2 surgeries were not done by Dr. Weinfeld. These type of complex revisions are some of the most challenging surgeries in plastic surgery. Revision rhinoplasties almost always require rib graft which was true in this case. Sometimes ear cartilage is required to create additional details. This patient also had pre revision micro fat grafting to the skin of bridge of the nose (dorsum) in order to prepare it for the third surgery by restoring the natural padding which is protective. Revision goals: smooth the bridge, de-rotate the turned-up tip, lengthen the over shortened nose by rebuilding the lower septum to provide better size balance with the rest of the face. At 4 1/2 months after multiple surgeries we know there is a lot of swelling still present so the results will get even better with more time.

Description:

Description:

Improvement Focus:  Excess upper eyelid skin, cheek decent with jowls, obtuse angle between face and neck with loose skin.

Technique: Cervicofacial Rhytidectomy (Face Lift, Neck Lift), Sub SMAS Dissection and Flap, Platysmaplasty , Upper Lid Blepharoplasty, Fat Grafting to Traumatic Left Cheek Defect

Patient Story:

This patient is Physician from Austin, Texas in his early sixties who was referred to Dr. Weinfeld due to his experience in fat grafting.  The patient had experienced trauma to the left cheek with soft tissue loss from a car accident.  A plan fat grafting to fill the tissue void was made.  The patient underwent one round of fat grafting then elected to undergo a face and neck lift and upper lid blepharoplasty.  The blepharoplasty technique had to be modified to accommodate for tissue changes due pre-existing scars from the crash.  He has been very happy with his results.

Description:

Description:

Improvement Focus: Dorsal Hump, Tip Shape, Tilted Nose

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 is a European Model currently living in Arizona. She had difficulty breathing due to septal deviation and turbinate hypertrophy but also desired natural improvement in the shape of her nose. She flew to Austin to undergo a consultation with Dr. Weinfeld and then returned later to undergo her surgery. Dr. Weinfeld’s office concierge approach to patients from out of town helped facilitate a comfortable visit to the Central Texas area.

Description:

20 week (short term) follow up for rhinoplasty revision, liposuction and renuvion of the lower face and neck, and burr reduction genioplasty. The nose is still swollen and will be for a while because this is her second surgery, but the improvement in shape is evident. Pay close attention to the more symmetric nostrils and tip shape. The lower face, jaw line, and chin results are impressive even at this early date. Liposuction reduced the fat and renuvion tightened the skin creating a “tighter fit” over the mandible giving wonderful jaw definition. The chin is rounder and more feminine. She looks like she lost 15 or more pounds but tells us she is the same weight.

Description:

Description:

Improvement Focus:  Excess upper eyelid skin, cheek decent with jowls, obtuse angle between face and neck with loose skin, prior and poor quality “lifestyle lift” scars, and weak chin.

Technique: Secondary Cervicofacial Rhytidectomy (Face Lift, Neck Lift), SMAS Plication, Platysmaplasty , and Precise Fat Micrografting to the Upper Cheek, and Fat Grafting  Mini Chin Augmentation Special note:  This patient wishes to retain some anonymity by revealing only the lower half of her face.

Patient Story:

This patient is a nurse from Leander, Texas who can to consult with Plastic Surgeon Dr. Weinfeld in his Austin office to discuss options for facial rejuvenation.  She had previously undergone a “Lifestyle Lift” by another physician and was not satisfied.  She was left with noticeable scars, especially behind her ears (not pictured), and no correction to her neck.  She underwent a Secondary (repeat) Facelift / Necklift.  SMAS plication technique was used due to the history of a prior facelift.  They platysmaplasty and precise direct fat sculpting in the neck yielded a profound transformation in her neck.  Her diminutive (weak) chin was subtly enhanced with a Fat Transfer Mini Chin Augmentation.

Description:

Description:

Improvement Focus: Dorsal Hump, Poor Tip Projection, Boxy Tip

Technique: Open Rhinoplasty

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

Graft Source: Septal Cartilage

Patient Story: This is young woman who traveled over six hours to Austin, Texas to consult with Dr. Weinfeld due to his experience with Latina /Latino Rhinoplasty. She desired improvements in the shape of her nose but also had difficulty breathing. She underwent a procedure that addressed both the functional issues and the aesthetic concerns. She has been very happy with her results.

Description:

Chest scar from autologous rib cartilage harvest For revision rhinoplasty.

The scar can be a little more visible in men. And women it is located where the breast meets the chest in the lower portion of the breast in the inframammary fold, and therefore is often not seen at all. Cadaveric Rib Cartilage is also an option for many patients.