Dr Mark B. Constantian, MD, FACS in Nashua, New Hampshire

Name: Mark B. Constantian, MD, FACS (retired)
Last name: Constantian
Gender: male
Began aesthetic medicine in: 1978
Years experience: 45
Primary Specialty: Plastic Surgeon
Business: Mark B. Constantian, MD, Professional Association
Address: 19 Tyler St
Address suite: #302-304
Phone: +1 603-880-7700
City: Nashua
State: New Hampshire
Zip Code: 03060
Country: US
Consulting Fees: 350$
Consultation note: Revision rhinoplasty patients are encouraged to bring photos of their unoperated original nasal shapes to the consultation
Has Sponsored Offer : No

Clinical Privileges: 
  • Saint Joseph Hospital and Southern NH Medical Center, Nashua , NH
Education: 
  • Undergraduate: Columbia College
  • Medical:
  • Bachelor of Medical Sciences, Dartmouth Medical School
  • MD, University of Virginia School of Medicine
Postdoc Training: 
  • Internship: General Surgery, University of Virginia Hospital
  • Residencies:
  • General Surgery, Boston University Medical Center
  • Plastic Surgery, Medical College of Virginia
Member of: 
  • American Society for Aesthetic Plastic Surgery (ASAPS)
  • American Society of Plastic Surgeons (ASPS)
Board Certification: 
Mark Barbour Constantian (ABMSUID -063)

Viewed: 8/5/2008
Day of birth: 12/19/1946

Status: Alive
Certification: American Board of Plastic Surgery
Plastic Surgery – General

Status: Certified Active Lifetime Initial Certification
4/27/1979 –
Education: 1972 MD (Doctor of Medicine)
Location: 19 Tyler St Ste 302Nashua, NH 03060-2951 (United States)

GPS coordinates on map: 42.7569902,-71.4611506

Mark B. Constantian, MD, FACS

Primary location: 
Location name: Nashua
State: NH
Country: US
Map point: 42.7578,-71.46389771
Treatments: 
  • African American Rhinoplasty
  • Asian Rhinoplasty
  • Botox
  • Breast Augmentation
  • Breast Implant Removal
  • Breast Implant Revision
  • Breast Implants
  • Breast Lift
  • Breast Lift with Implants
  • Breast Reconstruction
  • Breast Reduction
  • Brow Lift
  • Chin Implant
  • Ear Surgery
  • Earlobe Repair
  • Eyelid Surgery
  • Facelift
  • Facial Fat Transfer
  • Facial Reconstructive Surgery
  • Lower Facelift
  • Mini Facelift
  • Natrelle Breast Implants
  • Neck Lift
  • Radiesse
  • Restylane
  • Retin-A
  • Revision Rhinoplasty
  • Rhinoplasty
  • Septoplasty
  • Skin Rejuvenation

RealSelf Info

Rating: 4.6
Profile views: 18926
Answer count: 223
Review count: 32
1 star count: 1
5 star count: 3
Total star count: 4
Star rating: 2.5884524922497
Anonymous votes: 0
Offer count: 0
Profile created: Nov 18, 2007
Profile modified: Feb 11, 2022
Profile promotion: No
Profile inactive: Yes
Premier status: Free
Tier: Free-Claimed
RealCare Promise: No
Directory link: Board Certified Plastic Surgeon
RealSelf’s PRO: No
Doctor Designation Start Time: Feb 1, 2012
Doctor Designation End Time: Jan 1, 2033

Locations

  • Nashua, NH, US. GPS coordinates: 42.7578,-71.46389771

Latest ratings of treatments

  • Revision Rhinoplasty (Sep 2023) – Overall rating: 5/5
  • Radiesse (Sep 2023) – Overall rating: 5/5
  • Rhinoplasty (Sep 2023) – Overall rating: 1/5 (Wait times: 2/5, Doctor’s bedside manner: 1/5, Phone or email responsiveness: 2/5, Payment process: 3/5, Time spent with patient: 2/5, After care follow-up: 1/5, Staff professionalism & courtesy: 2/5, Answered questions: 1/5)
  • Rhinoplasty (Sep 2023) – Overall rating: 5/5
  • Eyelid Surgery (Apr 2016) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Revision Rhinoplasty (Jul 2014) – Overall rating: 1/5 (Wait times: 1/5, Doctor’s bedside manner: 1/5, Phone or email responsiveness: 1/5, Payment process: 1/5, Time spent with patient: 1/5, After care follow-up: 1/5, Staff professionalism & courtesy: 1/5, Answered questions: 1/5)
  • Septoplasty (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Revision Rhinoplasty (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 4/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Revision Rhinoplasty (Dec 2008) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Rhinoplasty (Sep 2023) – Overall rating: 5/5 (Wait times: 4/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Revision Rhinoplasty (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Revision Rhinoplasty (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Rhinoplasty (Sep 2023) – Overall rating: 5/5 (Wait times: 3/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 4/5, Payment process: 4/5, Time spent with patient: 4/5, After care follow-up: 5/5, Staff professionalism & courtesy: 4/5, Answered questions: 5/5)
  • Revision Rhinoplasty (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Breast Reduction (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Revision Rhinoplasty (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Rhinoplasty (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Revision Rhinoplasty (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Rhinoplasty (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Rhinoplasty (Sep 2023) – Overall rating: 5/5 (Wait times: 4/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Revision Rhinoplasty (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Rhinoplasty (Sep 2023) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Revision Rhinoplasty (Sep 2023) – Overall rating: 5/5
  • Rhinoplasty (Dec 2016) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Rhinoplasty (Jul 2009) – Overall rating: 5/5 (Wait times: 5/5, Doctor’s bedside manner: 5/5, Phone or email responsiveness: 5/5, Payment process: 5/5, Time spent with patient: 5/5, After care follow-up: 5/5, Staff professionalism & courtesy: 5/5, Answered questions: 5/5)
  • Rhinoplasty (Sep 2023) – Overall rating: 5/5
  • Rhinoplasty (Sep 2023) – Overall rating: 5/5
  • Revision Rhinoplasty (Sep 2023) – Overall rating: 5/5
  • Revision Rhinoplasty (Jun 2023) – Overall rating: 1/5
  • Revision Rhinoplasty (Jun 2023) – Overall rating: 1/5

Latest Prices

Revision Rhinoplasty Prices

  • $25000 – Jul 11, 2014 – Nashua, NH
  • $9500 – Sep 2023 – Nashua, NH
  • $10000 – Sep 2023 – Nashua, NH
  • $12000 – Sep 2023 – Nashua, NH
  • $9500 – Sep 2023 – Nashua
  • $7950 – Sep 2023 – Nashua, NH
  • $7500 – Sep 2023 – Nashua, NH
  • $16000 – Sep 2023 – Nashua, NH
  • $40000 – Jun 2023 – Nashua
  • $40000 – Jun 2023 – Nashua
  • $40000 – Jun 2023 – Nashua
  • $40000 – Jan 2023 – Nashua
  • $45000 – Nov 2021 – Nashua, NH
  • $7950 – Oct 2018 – Nashua, NH
  • $12000 – Oct 2018 – Nashua, NH
  • $14000 – Oct 2018 – Nashua, NH
  • $40000 – Aug 2018 – Nashua
  • $40000 – Aug 2018 – Nashua
  • $14000 – Aug 1, 2009
  • $14000 – Aug 1, 2009
  • $14000 – Aug 1, 2009
  • $14000 – Aug 1, 2009
  • $9500 – Aug 2017 – Nashua
  • $25000 – Jul 11, 2014 – Nashua, NH
  • $10000 – Jun 2017 – Nashua, NH
  • $8900 – Dec 30, 2014 – Nashua, NH
  • $25000 – Jul 11, 2014 – Nashua, NH
  • $25000 – Jul 11, 2014 – Nashua, NH
  • $25000 – Jul 11, 2014 – Nashua, NH
  • $9500 – Jan 2016 – Nashua, NH
  • $16000 – Jan 2016 – Nashua, NH
  • $8000 – Apr 2015 – Nashua, NH
  • $8900 – Dec 30, 2014 – Nashua, NH
  • $8900 – Dec 30, 2014 – Nashua, NH
  • $8900 – Dec 30, 2014 – Nashua, NH
  • $8900 – Dec 30, 2014 – Nashua, NH
  • $8900 – Dec 30, 2014 – Nashua, NH
  • $25000 – Feb 2013 – Nashua, NH
  • $25000 – Feb 2013 – Nashua, NH
  • $10000 – Apr 2012 – Nashua, NH
  • $9500 – Dec 2011 – Nashua
  • $7950 – Dec 2011 – Nashua, NH
  • $12000 – Oct 2011 – Nashua, NH
  • $9500 – Oct 2011 – Nashua, NH
  • $14000 – Sep 2011 – Nashua, NH
  • $16000 – Jul 2011 – Nashua, NH
  • $16000 – Jul 2011 – Nashua, NH
  • $7500 – Jun 2011 – Nashua, NH
  • $7500 – Jun 2011 – Nashua, NH
  • $7500 – Jun 2011 – Nashua, NH
  • $16000 – Jun 2011 – Nashua, NH
  • $16000 – Jun 2011 – Nashua, NH
  • $16000 – Jun 2011 – Nashua, NH

Rhinoplasty Prices

  • $9000 – Sep 2023 – Nashua, NH
  • $7700 – Sep 2023 – Nashua, NH
  • $21001 – Sep 2023 – Nashua, NH
  • $7000 – Sep 2023 – Nashua, NH
  • $9000 – Sep 2023 – Nashua, NH
  • $11000 – Sep 2023 – Nashua, NH
  • $12000 – Jul 1, 2009 – Nashua, NH
  • $7500 – Oct 20, 2010 – Nashua, NH
  • $9000 – Jul 2022 – Nashua, NH
  • $21001 – Aug 2021 – Nashua, NH
  • $7500 – Oct 20, 2010 – Nashua, NH
  • $7999 – May 2019 – Nashua, NH
  • $7999 – May 2019 – Nashua, NH
  • $12000 – Jul 1, 2009 – Nashua, NH
  • $9000 – Oct 2018 – Nashua, NH
  • $11000 – Oct 2018 – Nashua, NH
  • $7999 – Oct 2017 – Nashua, NH
  • $7000 – Oct 2017 – Nashua, NH
  • $9000 – Apr 2015 – Nashua, NH
  • $8000 – Jan 2015 – Nashua, NH
  • $10000 – Feb 21, 2013 – Nashua, NH
  • $10000 – Feb 21, 2013 – Nashua, NH
  • $9000 – Oct 2012 – Nashua, NH
  • $8000 – Oct 2012 – Nashua, NH
  • $7700 – Apr 2012 – Nashua, NH
  • $9000 – Sep 2011 – Nashua, NH
  • $9000 – Sep 2011 – Nashua, NH
  • $8000 – Aug 2011 – Nashua, NH
  • $11000 – Jul 2011 – Nashua, NH
  • $9000 – Jun 2011 – Nashua, NH
  • $9000 – Jun 2011 – Nashua, NH
  • $7000 – Jun 2011 – Nashua, NH
  • $7000 – Jun 2011 – Nashua, NH

Eyelid Surgery Prices

  • $6000 – Apr 21, 2016 – Nashua, NH
  • $6000 – Apr 21, 2016 – Nashua, NH
  • $6000 – Apr 21, 2016 – Nashua, NH
  • $6000 – Apr 21, 2016 – Nashua, NH

Septoplasty Prices

  • $7800 – Sep 2023 – Nashua, NH
  • $7800 – Oct 2018 – Nashua, NH
  • $7800 – Jul 2011 – Nashua, NH

Nose Surgery Prices

  • $14000 – Oct 2018 – Nashua, NH
  • $21000 – Oct 2011 – Nashua, NH
  • $21000 – Oct 2011 – Nashua, NH
  • $14000 – Sep 2011 – Nashua, NH
  • $14000 – Sep 2011 – Nashua, NH

Other Prices

  • $7950 – Dec 2011 – Nashua, NH
  • $12000 – Oct 2011 – Nashua, NH
  • $21000 – Oct 2011 – Nashua, NH

Doctor’s answers

Question
Answer Header & Date
Answer Snippet
Can my nose be corrected further through open rhinoplasty?
The answer is diagnosis and technique–not open or closed
Aug 4, 2019
It’s impossible to tell anything from one photograph, though your nose seems narrow, your tip is pinched, your nostrils are too arched, and your airway must be compromised. The solution is not to choose the approach, but rather what is done. I only do closed rhinoplasty for a reason: the skin determines half of the shape of the nose and the open approach makes it impossible to assess the skin and to perform certain maneuvers. Some surgeons and patients have the idea that they can “see b…
Should I be concerned if my columella is still swollen 6 months post rhino revision? (Pho
Your Lower Nose can be improved in another 6 to 12 months if you wish
Mar 22, 2019
I do not see your columella as wide from the inferior view, which is good because that is a largely uncorrectable complication of open rhinoplasty that cannot be repaired. However, it is low as your nostril contours are irregular. These, and the scars, are common problems after open rhinoplasty, which is why I never perform it.   Without seeing the surface, the surgeon has no validity to fine-tune the nasal shape and must rely on sutures and struts, any of which create new problems.You ar…
Can you please tell me the success rate of using donor rib graft in rhinoplasty?
Your Own Rib Is By Far Your Best Alternative
Mar 22, 2019
Rib is the most difficult building material to work with for the nose, but the fortunate thing is that as we age, the rib becomes more calcified. That is actually very good because it makes the rib much more stable. At your age, your rib should be excellent. I discussed this in my textbook in detail and lecture about it all the time.Even young, white, elastic rib can be used easily, but the best way is to make a laminate out of it to minimize the warping. That is not your situation.The only…
Nasal valve collapse following open primary rhinoplasty
Rhinoplasty May Commonly Inadvertently Compromise the Nasal Valves
Mar 22, 2019
The internal valves (the sidewall in the middle third) depend on the height and integrity of the bridge. When the bridge is reduced even 2 mm, the internal valves become unstable and can collapse and decrease the airway by 50%. I know this by my published 600 patient rhinomanometric study over 16 years.The external valves (the sidewall in the lower third) depend on the position and strength of the tip cartilages. If the lateral crura (the tip cartilages above your nostrils) are reduced, or i…
Can I have a septoplasty if I have an inverted v deformity from prior rhinoplasty?
The Inverted V is directly related to your airway obstruction
Dec 8, 2018
The important thing to remember is that the inverted V is not a cosmetic problem: it is a manifestation of collapse of the internal valves, which almost always happens when the height of the bridge is reduced. That’s why I always place spreader grafts when I take down the dorsum.Certainly septoplasties and spreader grafts can be done safely at the same time. The surgeon can also use ear or rib cartilage if you have no septum left. In addition, if your bridge is over-resected, a large do…
No radix after septoplasty: I think my nose looks a little scooped.
Radix grafts must be used cautiously when there is a shallow frontonasal depression
Jun 13, 2018
I don’t completely agree with your observation. Your radix height was originally good – – it was at the level of your upper lash margin. The reason you don’t like your current appearance is that you had a very shallow, almost nonexistent, depression between your nasal radix in your forehead (frontonasal depression). When the doctor reduced your bridge, the whole area seemed to disappear.Raising your bridge height and redefining your radix will help. Sometimes it is also possible to deepe…
Is diced cartilage wrapped in facsia to build up an over-restecd bridge permanent?
The jury is out on diced cartilage. It may have some uses, but it is not the same as solid rib.
Jun 13, 2018
Surgeons began to use diced cartilage, wrapped or unwrapped, because they had trouble using solid rib cartilage without having it distort. Case series have been published, but in some of them, the complication rate is unbelievably low. There is a lot of missing information still. When I question surgeons on their complications in panels that I have moderated, they talk about the cartilage settling or migrating to the nasal sidewall or other problems that are never usually discussed. We d…
How to proceed with a possible revision rhinoplasty following open rhinoplasty 14 months
A change in dorsal height is very disconcerting for many patients, especially men.
Jun 13, 2018
In 2012 I wrote a paper entitled, “What Motivates Secondary Rhinoplasty?” In it I reviewed 150 consecutive secondary patients to see why they wanted to undergo another operation.  Some had new deformities. Some had uncorrected problems. But 15% had undergone an intolerable change in ethnic, personal, or familial characteristics. I even wrote a section about loss of identity in my textbook.I speculate that that is part of why you can’t adjust to the new nose. You originally had a …
I’d like to know the least invasive way to build my bridge and tip back up after rhinopla
The least invasive and most protective surgery is always closed rhinoplasty
Apr 16, 2018
In terms of surgical access and risks to the patient, there is no comparison between closed and open rhinoplasty. In the closed approach, I never uncover areas that are not directly related to what the patient asks me to do. This limits recovery, adds precision, and minimizes the chance of introducing new deformities.   I think the worst thing a surgeon can do is add problems that the patient never had.That’s in a marked distinction to open rhinoplasty, where the tissues are routinely di…
Crooked nose 3 weeks after rhinoplasty. Is there any hope for it to become straight? (Pho
Septal deviation can become obvious after rhinoplasty
Apr 3, 2018
When your surgeon reduced your bridge, he or she opened the cartilaginous roof that formed part of the bump. When that happens, the sides lose some of their support and fall toward the midline of the nose.If the septum was slightly deviated or curved (as yours is toward your right), one sidewall (in your case the left one) has more room to move than the other. That’s why your nose looks newly asymmetrical. The surgeon did not create the asymmetry; he or she simply exposed it.If you get to…
Nasal Valve Collapse? Or something else? What has happened to my nose post 7 months rhino
Collapsed internal valves look like an “Inverted-V” and decrease the airway by 50 percent
Feb 14, 2018
You have very smartly made the right diagnosis. When the bridge is reduced, that resection takes off the cartilaginous roof, which means that the sides of the nose in the middle third (the internal valves) no longer have the support that they did, and will fall toward the midline, obstructing the airway and making the middle of the nose seem narrow compared to the bony part.
Years ago we used to think that the problem was that the bones hadn’t been narrowed, but actually the middle third …
What to do about a huge bump on the side of my nose that appeared 1 year post-op. It’s is
It’s not the bump – – it’s the dent below it that counts because this is your airway compromise
Jan 25, 2018
If you look at your preoperative photographs, your right nasal bone is more prominent than your left. After the surgeon reduced the bump, he or she inadvertently decreased support to the middle third of the nose on the side – – this is a critical area call the internal valve. Because the bump is not there, there is nothing to hold the sides out in the middle third, so they fall toward the septum in the center. In doing so, they make the right nasal bone look even more prominent– the bone ha…
I have low self-esteem from my hollow eyes and bumpy nose, how do I correct my features?
Looking at your face through different eyes; Surgery cannot provide self-worth
Jan 2, 2018
I see very different features than you do. Your eyes are strikingly pretty, and the small shadows underneath are not hollow areas, but simply normal anatomy– the place where the muscle joins the edge of the bone.. If they really bother you, they can be treated by hyaluronidase fillers, but with smooth lower lids, they really don’t need treatment to make you lady prettier.Your nose has excellent contours. It is symmetrical, delicate, and your skin is thin enough to show the shape of the…
Can radix graft be reduced and hump shaved in a closed simple rhinoplasty without additio
Grafts are easy to revise through closed rhinoplasty
Oct 19, 2017
One of the advantages of closed rhinoplasty is that only a few grafts are ever necessary – – I only use radix, spreader, tip, and alar wall grafts to fix almost every nose.Because the surgery is closed, I never need internal sutures, columellar struts, alar rim grafts, soft triangle grafts, or any of the techniques that are used to repair the damage caused by the open approach itself.
If the result isn’t perfect, revision is also simple. The surgeon can remove, reduce, and replace the gra…
Nose became less defined as it healed –1 month – 6 months, is this excess scar tissue? (
Nasal skin determines half of the result; that’s why closed rhinoplasty is so successful
Oct 18, 2017
One of the fallacies upon which rhinoplasty has always been built is that if the surgeon makes a perfect skeleton, the skin will take on that shape. Unfortunately, it’s not that simple. Skin has its own vectors of contraction – – posteriorly and medially (backward and toward the midline) in the upper nose and concentrically and backward around the tip – – those are the vectors that create supratip deformity and make the tip look round and shapeless.
Even though that is not your problem, …

Latest Before And After Photos

Last updated on 11/24/2023