Case 12: One of the things that we love about rhinoplasty is that we can combine dramatic changes such as straightening this patient’s nasal twist, and at the same time create some subtle enhancements such as refining and slightly deprojecting the tip while reducing the sense of columellar show. At 6 months, her nose now balances with her face and really brings out her beautiful eyes.
Aging can affect our entire bodies. For women, their breasts can lose their shape and volume creating a saggy and disproportionate chest appearance. Gravity, pregnancy, breastfeeding and weight fluctuations can also add to the breasts’ loss of definition. A breast lift, otherwise known as a mastopexy, can correct the aforementioned issues and restore the breasts allowing them to appear perky and more youthful.
Dr. Fouda Neel is one of the leading surgeons in the field of cosmetic surgery. Prior to your procedure he will explain what is involved in your aftercare. It is important that you pick up any prescriptions for pain medication or antibiotics before your surgery. Not all patients require post-surgery antibiotics and Dr. Fouda Neel will discuss this with you during your initial meeting.
A curvature and droopy tip brings undue focus to this young man’s nose. Although there is still some swelling in these early post-operative photos, we can already see a nose that is now straight, has a smooth profile and no longer droops. A sense of length is preserved to match his oval face. More than that, because of these positive changes, he also looks younger.
Case 34: Hispanic Rhinoplasty in this patient meant removal of a high dorsal bump on profile and correction of a droopy-appearing tip. On front view, there is correction of a left nasal bone fracture and refinement of the nasal tip. All of this was done while still maintaining her unique individuality and while bearing in mind the various challenges Rhinoplasty in Latino patients present- thicker skin and softer cartilage.
Case 47: This patient’s primary surgery left her with valve collapse, nostril notching, persistent tip rounding and hanging columella. Secondary surgery involved correction of these issues with repositioning and reconstruction of the tip cartilages to improve tip contour. Although she is still a little swollen in the after photos, she is already happy with her new nose.
Case 43: Rhinoplasty in this pretty professional woman was all about removing the bump she had hated for years and correcting the tip droop and asymmetry that had worsened with age. Relatively small changes here have created a real sense of refinement while maintaining her long, elegant profile. A lower face and neck lift along with facial fat transfer helped to round out the enhancements in her already beautiful appearance.
A Bra Lift with Laser (Laser Bra Lift): Some doctors will want to use a laser bra lift as an insurance policy that your breasts won’t sag. It’s actually not really an alternative to breast lift surgery as it is an extra procedure. In the laser bra surgery, the laser is used to create a bra-like effect that protects the surgical results of the breast lift. Laser energy will always stimulate the production of new collagen fibers, which give you more support of any tissues. Always look at the before and after pictures to see whether or not you think there is enough improvement.
Case 31: This patient had some typical concerns of feeling washed out from the front with flattening and spreading of her tip. She was very happy with the narrowing and definition achieved for her bridge and tip along with nostril reduction. In addition, chin augmentation increased chin projection to improve the balance of her lower face and jawline.

Some might think that this patient had had previous rhinoplasty with tip collapse, but she did not. Occasionally, the shape of the tip cartilages is very vertically-oriented, causing a deep groove in the nostril. She felt this, along with her marked tip crookedness, drew unwanted attention to her nose. Now, her nose is smaller, smoother, more defined, and just blends with the rest of her face.


Over time, pregnancy, weight changes and aging take their toll. Your breasts may have changed in shape and size. You used to have full perky breasts but now, they just sag. They're elongated and flattened against your body. Your areolas are also enlarged and irritation has developed within your breast folds. That's why breast lifts are so popular! In one 5-year study of 125 women in the Journal of Plastic, Reconstructive & Aesthetic Surgery, 91.5% reported that their expectations for their breast lifts were met or exceeded. 89.3% reported an improved self-esteem and 69.5% reported an improved quality of life as a result of their breast lift procedure. This makes breast lifts an effective way to regain self-esteem and reclaim your youthful appearance.

Once your bone and cartilage have been resculpted, your surgeon pulls the skin back down and stitches it along the open-rhinoplasty incision across the columella (the tissue that links the nasal tip to the nasal base). “When done properly, that incision is extremely hard to see, once it’s healed,” says Dr. Miller. With a closed procedure, the incisions are made inside your nostrils, so there’s no visible scarring, and the sutures are usually dissolvable. 


The closed vs. open rhinoplasty technique concerns only how the surgeon gets inside the nose to make the required changes, not what’s accomplished with the rhinoplasty procedure itself. Reshaping your nose may include breaking and removing bone and cartilage. If cartilage needs to be added, say, to rebuild the tip of the nose, it’s often taken from the septum, the middle portion of the nose—a technique called a cartilage graft. Cartilage may also be taken from other areas of your body, such as your ear. In some cases, a synthetic material, like a silicone implant, is used; but studies have shown that there may be more complications with synthetics. Cartilage grafts, nasal-bone osteotomies (removal of parts of the bone), dorsal-hump removal, and suture techniques applied to the nasal tip cartilages can all be performed with either the closed- or open-approach rhinoplasty.
Case 40: Excessive nasal width can cause the nose to dominate other fine, delicate facial features. In Ethnic Rhinoplasty, the key to obtaining a more refined nose is to create a nasal framework upon which the thick skin will wrap around. This pretty young Persian woman wanted to reduce her nasal width, the fullness in her tip, and the sense that her tip was downturned. These six month photos show significant improvements in achieving these goals and her nose will only get better yet.
When performing your breast lift, your surgeon will make every effort to make incisions in easily concealed locations, but scarring is an unavoidable byproduct of any surgery. Breast lift scars do fade over time, but in some cases, will never completely disappear, and may be permanently visible. If scarring is a concern for you, we’ll be happy to discuss scar reduction methods with you.
During the course of a woman’s life, the breasts change in appearance and oftentimes sag. Don’t worry, this is NOT an uncommon condition. In fact, the clinical term for female breasts that sag is called ‘breast ptosis.’ There are many causes of breast ptosis including pregnancy, cigarette smoking, high body mass, gravity and the natural aging process. There are also different degrees of ptosis as shown in the illustration below. Fortunately, breast ptosis can easily be treated with breast lift surgery.
Case 4: Some might think that this patient had had previous rhinoplasty with tip collapse, but she did not. Occasionally, the shape of the tip cartilages is very vertically-oriented, causing a deep groove in the nostril. She felt this, along with her marked tip crookedness, drew unwanted attention to her nose. Now, her nose is smaller, smoother, more defined, and just blends with the rest of her face.

As with most plastic surgery, getting more than one procedure done at one time can save you money in anesthesia and facility fees. Prices will vary by surgeon, but it is always best to look for the most qualified doctor rather than the lowest price. Also, some doctors will offer discounts to patients who agree to give testimonials or allow the doctor to use their before and after photos.


Back in December 2017, Markle caused a spike in attention in Scottish merchant Strathberry after carrying among the handbags into a community occasion soon after her participation. It was reported as a sign that her style choices would create her very own version of this Kate effect. It’s been theorized that Markle’s impact could be higher, as she’s an intense fascination in us. Following Markle and Prince Harry’s very first look at a few, manufacturers Mackage, Birks, R&R Jewelers, Crown Jewelers, and Everlane noticed an upswing in their site hits and earnings.
A revision rhinoplasty is a complicated surgery, because the surgeon now has to contend with thick scar tissue—which makes it difficult to raise the skin and soft tissue off the cartilage. “Plus, we often need to reconstruct part of the nose, so we need to take cartilage from other sources,” says Dr. Miller. Surgeons say that the minimum amount of time to wait before you can do revision rhinoplasty, even if there is an obvious problem, is a full year. 

Over time, pregnancy, weight changes and aging take their toll. Your breasts may have changed in shape and size. You used to have full perky breasts but now, they just sag. They're elongated and flattened against your body. Your areolas are also enlarged and irritation has developed within your breast folds. That's why breast lifts are so popular! In one 5-year study of 125 women in the Journal of Plastic, Reconstructive & Aesthetic Surgery, 91.5% reported that their expectations for their breast lifts were met or exceeded. 89.3% reported an improved self-esteem and 69.5% reported an improved quality of life as a result of their breast lift procedure. This makes breast lifts an effective way to regain self-esteem and reclaim your youthful appearance.


Markle has mentioned Emmanuelle Alt as her fashion motivation. In a meeting with Glamour, the Duchess stated that she preferred”that French method of styling, in which if your ensemble is pulled jointly, then something has got to be disheveled–your hair, your make-up.” In her early days, Markle’s”sensibility had consistently been relaxed California woman style” comprising jeans, cut-offs, and flip-flops.
Case 60: Facial aging can be hard on someone who is naturally thin by creating a more severe and skeletonized appearance as facial fat is lost. A combined approach was used to create a beautiful transformation, including a trichophytic brow lift, lower lid tightening, and facelift along with a conservative rhinoplasty to straighten and balance her nose. Notice how the eyes are opened up and facial hollows are smoothened without the surprised look that can accompany over-aggressive lifts. You’ll also see that incisions are hidden within the hairline and natural skin creases making them almost invisible.
Case 4: Some might think that this patient had had previous rhinoplasty with tip collapse, but she did not. Occasionally, the shape of the tip cartilages is very vertically-oriented, causing a deep groove in the nostril. She felt this, along with her marked tip crookedness, drew unwanted attention to her nose. Now, her nose is smaller, smoother, more defined, and just blends with the rest of her face.

Dr. Fouda Neel is one of the leading surgeons in the field of cosmetic surgery. Prior to your procedure he will explain what is involved in your aftercare. It is important that you pick up any prescriptions for pain medication or antibiotics before your surgery. Not all patients require post-surgery antibiotics and Dr. Fouda Neel will discuss this with you during your initial meeting.


The surgeon’s fee is the most difficult to predict without first knowing the extent of the procedure and the qualifications of the plastic surgeon. The geographical location of the practice also plays a role in your cost. Surgeons who practice in highly populated urban areas tend to charge more because their overhead is higher and they are in greater demand than their counterparts in rural or suburban areas.
The procedure also does not permanently change the breast shape and firmness. As time marches on, you may expect the effects of aging and gravity to continue. In these cases, a secondary revision surgery may be required. The best candidates for this cosmetic surgery are women who are emotionally well-adjusted, have realistic expectations, and understand the procedure thoroughly.
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