Richard E. Davis, MD FACS - The Center for Facial Restoration in Miramar, Florida

Before & After Photo Gallery: Primary Rhinoplasty

This photo gallery represents a cross-section of my rhinoplasty practice and includes patients of different age, gender, nasal shape, and ethnic background. This gallery is not a collection of my best rhinoplasty outcomes, but rather a representative sampling of my typical cosmetic result. In addition, a majority of these patients also had simultaneous correction of severe nasal breathing difficulties, which cannot be appreciated in photographs.

Although reviewing before and after photographs is an important element in selecting the right rhinoplasty surgeon, choosing your surgeon solely on the basis of website photos is ill-advised. Indeed, countless disappointed rhinoplasty patients can attest to the deceptive and misleading nature of many rhinoplasty websites. Moreover, viewing online photos is no substitute for the consultation visit, where I can share numerous other before and after photos, many with noses similar in appearance to your own – a far more meaningful comparison. Although I have been slow to incorporate internet marketing into my rhinoplasty practice, the growing number of individuals who look to the internet as their sole source of medical information cannot be overlooked. Consequently, I offer this website as a source of candid information to equip the prospective rhinoplasty patient with accurate information and honest advice.

I am indebted to the generous patients who kindly authorized use of their rhinoplasty photographs.

Richard E. Davis, MD, FACS

 

Primary Rhinoplasty: Patient 1

Clinical History: Healthy male with nasal obstruction (nasal valve collapse, deviated septum, enlarged turbinates), crooked nose, and overprojected dorsum
Procedures: External (open) nasoseptal reconstruction with hump reduction (full osteotomies), septoplasty, multiple cartilage augmentation grafts, and turbinate reduction
Graft Types: Septal replacement graft, spreader graft, mid-vault onlay graft, tip (shield) graft, columellar batten graft
After Photos Taken: 6 months post-op
Richard Davis, MD Primary Rhinoplasty: Patient 1, Front View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 1, Front View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 1, Profile View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 1, Profile View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 1, Oblique View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 1, Oblique View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 1, Basal View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 1, Basal View, Post-Op

Primary Rhinoplasty: Patient 2

Clinical History: Healthy male with nasal valve collapse, enlarged turbinates, and droopy nasal tip
Procedures: External (open) nasoseptal reconstruction with "tongue-in-groove" setback and turbinate reduction
Graft Types: Radix graft, columellar strut graft, columellar batten graft
After Photos Taken: 2 months post-op
Richard Davis, MD Primary Rhinoplasty: Patient 2, Front View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 2, Front View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 2, Profile View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 2, Profile View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 2, Oblique View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 2, Oblique View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 2, Basal View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 2, Basal View, Post-Op

Primary Rhinoplasty: Patient 3

Clinical History: Healthy adolescent female with wide nose and underprojected tip
Procedures: External (open) nasal reconstruction with radix augmentation, reverse spreader grafts, lateral osteotomies, tip-plasty using dome unit sutures and septal cartilage grafts; synthetic chin implant placed through submental (extra-oral) skin incision
Graft Types: Columellar strut graft, tip (shield) graft, radix soft tissue (SMAS) graft
After Photos Taken: 36 months post-op
Richard Davis, MD Primary Rhinoplasty: Patient 3, Front View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 3, Front View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 3, Profile View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 3, Profile View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 3, Oblique View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 3, Oblique View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 3, Basal View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 3, Basal View, Post-Op

Primary Rhinoplasty: Patient 4

Clinical History: Healthy female with nasal obstruction, nasal hump, and wide nasal tip
Procedures: External nasoseptal reconstruction with hump reduction (full osteotomies), and tip-plasty using dome unit sutures and septal cartilage grafts
Graft Types: Septal extension graft, tip (shield) graft
After Photos Taken: 2 months post-op
Richard Davis, MD Primary Rhinoplasty: Patient 4, Front View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 4, Front View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 4, Profile View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 4, Profile View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 4, Oblique View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 4, Oblique View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 4, Basal View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 4, Basal View, Post-Op

Primary Rhinoplasty: Patient 5

Clinical History: Healthy female with underprojected and drooping nasal tip (worse with smiling) and a prominent dorsal hump
Procedures: External nasoseptal reconstruction with electric saw hump removal and lateral osteotomies, tip reshaping with cartilage suspension and multiple septal cartilage grafts; natural tip cartilages preserved for optimum long-term stability
Graft Types: Septal extension graft for tip support and rotation, articulated alar rim grafts for nostril support, columellar onlay graft for columellar profile contouring
After Photos Taken: 14 months post-op
Richard Davis, MD Primary Rhinoplasty: Patient 16, Front View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 16, Front View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 16, Profile View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 16, Profile View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 16, Oblique View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 16, Oblique View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 16, Basal View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 16, Basal View, Post-Op

Primary Rhinoplasty: Patient 6

Clinical History: Healthy female with boxy, underprojected nasal tip and small dorsal hump
Procedures: External (open) nasal reconstruction with hump reduction (rasp only) and tip-plasty with dome-unit sutures and septal cartilage graft
Graft Types: Columellar strut graft
After Photos Taken: 3 months post-op
Richard Davis, MD Primary Rhinoplasty: Patient 6, Front View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 6, Front View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 6, Profile View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 6, Profile View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 6, Oblique View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 6, Oblique View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 6, Basal View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 6, Basal View, Post-Op

Primary Rhinoplasty: Patient 7

Clinical History: Healthy female with nasal obstruction (nasal valve collapse, deviated septum, and enlarged turbinates), and dorsal hump
Procedures: External (open) nasoseptal reconstruction with hump reduction (full osteotomies), septoplasty, turbinate reduction, and tip-plasty using vertical dome division, dome-unit sutures, and septal cartilage grafts
Graft Types: Bilateral spreader grafts, columellar strut graft, tip (shield and cap) grafts, crushed cartilage onlay grafts
After Photos Taken: 7 months post-op
Richard Davis, MD Primary Rhinoplasty: Patient 8, Front View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 8, Front View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 8, Profile View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 8, Profile View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 8, Oblique View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 8, Oblique View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 8, Basal View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 8, Basal View, Post-Op

Primary Rhinoplasty: Patient 8

Clinical History: Healthy female with nasal obstruction (nasal valve collapse and deviated septum), wide tip, dorsal hump, and thick nasal skin
Procedures: External (open) nasoseptal reconstruction with hump reduction (full osteotomies), spreader grafts, septoplasty, and tip-plasty using dome-unit sutures and cartilage grafts
Graft Types: Bilateral spreader grafts, columellar strut graft, tip (shield) graft, radix soft tissue (SMAS) graft, supra-tip soft tissue (SMAS) graft
After Photos Taken: 10 years post-op
Richard Davis, MD Primary Rhinoplasty: Patient 9, Front View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 9, Front View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 9, Profile View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 9, Profile View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 9, Oblique View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 9, Oblique View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 9, Basal View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 9, Basal View, Post-Op

Primary Rhinoplasty: Patient 9

Clinical History: Healthy female with nasal obstruction (nasal valve collapse, deviated septum, and enlarged turbinates), overprojected bridge, and wide asymmetric tip
Procedures: External (open) nasoseptal reconstruction with "tongue-in-groove" setback, hump reduction (full osteotomies), septoplasty, septal cartilage grafts, and turbinate reduction
Graft Types: Columellar strut graft, tip (shield) graft, columellar batten graft, lateral crura onlay grafts
After Photos Taken: 10 months post-op
Richard Davis, MD Primary Rhinoplasty: Patient 10, Front View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 10, Front View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 10, Profile View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 10, Profile View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 10, Oblique View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 10, Oblique View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 10, Basal View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 10, Basal View, Post-Op

Primary Rhinoplasty: Patient 10

Clinical History: Healthy female college student with thick skin, nasal hump, and wide, droopy nasal tip
Procedures: External (open) nasal reconstruction with "tongue-in-groove" setback, hump reduction (full osteotomies), radix graft, skin defatting, and tip-plasty using dome unit sutures and septal cartilage graft
Graft Types: Columellar strut graft, radix soft tissue (SMAS) onlay grafts
After Photos Taken: 2 months post-op
Richard Davis, MD Primary Rhinoplasty: Patient 11, Front View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 11, Front View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 11, Profile View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 11, Profile View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 11, Oblique View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 11, Oblique View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 11, Basal View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 11, Basal View, Post-Op

Primary Rhinoplasty: Patient 11

Clinical History: Healthy female with overprojected nose, small chin, and nasal obstruction
Procedures: External (open) nasoseptal reconstruction with "tongue-in-groove" setback, bridge reduction (without osteotomies), and tip-plasty using dome-unit sutures; synthetic chin implant placement via extra-oral skin incision
Graft Types: Columellar strut graft (septal cartilage)
After Photos Taken: 12 months post-op
Richard Davis, MD Primary Rhinoplasty: Patient 12, Front View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 12, Front View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 12, Profile View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 12, Profile View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 12, Oblique View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 12, Oblique View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 12, Basal View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 12, Basal View, Post-Op

Primary Rhinoplasty: Patient 12

Clinical History: Healthy male with severe nasal obstruction (nasal valve collapse, deviated septum, and enlarged turbinates), wide nasal tip, nasal hump, and caudal excess deformity
Procedures: External (open) nasoseptal reconstruction with "tongue-in-groove" setback, hump reduction (without osteotomies), and tip-plasty with dome unit sutures
Graft Types: None
After Photos Taken: 8 months post-op
Richard Davis, MD Primary Rhinoplasty: Patient 13, Front View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 13, Front View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 13, Profile View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 13, Profile View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 13, Oblique View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 13, Oblique View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 13, Basal View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 13, Basal View, Post-Op

Primary Rhinoplasty: Patient 13

Clinical History: Healthy female graduate student with wide, overprojected nose
Procedures: External (open) nasal reconstruction with "tongue-in-groove" setback, hump reduction (full osteotomies), and tip-plasty using septal cartilage grafts
Graft Types: Left-sided spreader graft, septal extension graft, tip (shield) graft, columellar batten graft
After Photos Taken: 5 months post-op
Richard Davis, MD Primary Rhinoplasty: Patient 14, Front View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 14, Front View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 14, Profile View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 14, Profile View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 14, Oblique View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 14, Oblique View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 14, Basal View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 14, Basal View, Post-Op

Primary Rhinoplasty: Patient 14

Clinical History: Healthy female with nasal airway obstruction (septal deviation, nasal valve collapse, and turbinate hypertrophy), overprojected nose and caudal excess deformity
Procedures: External (open) nasoseptal reconstruction with nasal bridge reduction (full osteotomies), bilateral spreader grafts, tip deprojection, suture tip refinement (with minimal cartilage removal), and bilateral turbinate reduction
Graft Types: Bilateral spreader grafts, partial columellar strut graft, left alar rim graft (all septal cartilage)
After Photos Taken: 2 months post-op
Richard Davis, MD Primary Rhinoplasty: Patient 15, Front View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 15, Front View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 15, Profile View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 15, Profile View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 15, Oblique View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 15, Oblique View, Post-Op
Richard Davis, MD Primary Rhinoplasty: Patient 15, Basal View, Pre-Op Richard Davis, MD Primary Rhinoplasty: Patient 15, Basal View, Post-Op
Richard E. Davis, MD, FACS
The Center for Facial Restoration
18501 Pines Blvd
Suite 210
Pembroke Pines, FL 33029

Office: (954) 442-5191
Fax: (786) 228-2853
Email: DrD@DavisRhinoplasty.com