South Shore Boston woman has revision nose job and replacement of chin implant*

This lovely 34 year old female was referred to rhinoplasty specialist, Dr. Jaimie DeRosa, to fix her nose and chin. She had undergone a nose job and button-type chin implant elsewhere and now was complaining of a variety of issues. She had trouble breathing through her nose and also had discomfort in the bridge of her nose. She also did not like how small and short her nose looked with a 'pointy' and 'arrow' appearance to her nasal tip. She also felt like her chin implant did not look right. When Dr. DeRosa examined her, she found that the patient had a short and small nasal deformity with irregularities over the nasal dorsal, a ptotic, drooping nasal tip, and over-narrowing of the nose, which contributed to her breathing problems. The nasal tip cartilages also had Bossa, or knuckling of the domes, which made them look irregular. Her chin implant was too prominent and did not transition with the rest of the jawline. Dr. DeRosa performed a revision rhinoplasty and chin implant revision to correct her nasal and chin deformities and nasal obstruction. Via an open rhinoplasty approach, she used the patient's own septal cartilage and rib cartilage (costal cartilage) for support grafts in the nose. Dr. DeRosa removed the previously-placed 'button type' chin implant using an extended anatomical silicone chin implant so that it looked more natural. She is now breathing better and looks great.