Photos

Procedure: Rhinoplasty

Surgeon: Dr. Batniji

Location: Newport Beach, Minutes From Costa Mesa California

Procedure Detail: This 29 year old female presented to Dr. Batniji in consultation for a rhinoplasty. She was interested in refinement of the nasal tip and removal of a bump along the bridge of the nose. As well, the patient, who is of Italian ethnicity, wanted a result that would be appropriate for her ethnicity and complement her facial features. Dr. Batniji performed the following:

Septoplasty via a left sided hemitransfixion incision to correct the deviated septum and harvest septal cartilage for use in rhinoplasty -Rhinoplasty via an external approach -Dorsal hump reduction (profileplasty) with a rasp for subtle refinement of the bony nasal dorsum. Cartilaginous dorsal hump was removed. The upper lateral cartilages were preserved to further maintain the integrity of the middle nasal vault and internal nasal valve.
The internal nasal valves were reconstructed to not only maintain the nasal airway, but also to improve upon its function. Spreader grafts were placed on both sides. Since the right middle nasal vault demonstrated a convexity, a thick spreader graft was placed on the right side to address this convexity, thus providing a more harmonious shape to the middle nasal vault.
In an effort to achieve tip refinement, Dr. Batniji performed cephalic margin trim to address the broad width of the cartilages. Then, Dr. Batniji performed interdomal, transdomal and tip position sutures to further refine the nasal tip shape. Finally, Dr. Batniji placed a tip graft that was obtained from the previously harvested septal cartilage; he crushed/softened the edges of the graft so that it appears natural without sharpe edes.
Lateral osteotomies to close an open roof deformity.

Procedure: Rhinoplasty

Surgeon: Dr. Batniji

Location: Newport Beach, South Of Santa Ana Ca

Procedure Detail: This 37 year old female presented with an interest in improving the shape of the nose. Specifically, she desired removal of a dorsal hump (bump on the top of the nose) and correction of a droopy tip. Dr. Batniji performed the following:

Septoplasty to straighten the nasal septum, thus improving her ability to breathe through the nose.
Rhinoplasty via an external approach.
Bilateral auto-spreader grafts to maintain the integrity of the middle nasal vault and internal nasal valve.
Dorsal hump reduction (profileplasty) with osteotome to address the bony dorsal hump; a rasp was then used for subtle refinement of the bony nasal dorsum. Cartilaginous dorsal hump was removed conservatively. The upper lateral cartilages were preserved to further maintain the integrity of the middle nasal vault and internal nasal valve.
Caudal extension graft to increase tip projection, tip rotation, and tip support.
Tip suture technique to provide subtle refinement to the nasal tip.

Procedure: Rhinoplasty

Surgeon: Dr. Batniji

Location: Orange County California

Procedure Detail: This 62 year old female presented with an interest in changing the shape of her nose.  Specifically, she desired removal of a dorsal hump (bump on the top of the nose) and more definition of the nasal tip.  During the consultation and review of her photographs, Dr. Batniji noted a prominence at the right aspect of the nose above the tip, a depression on the opposite side, a very weak nasal tip and a prominent dorsal hump  The patient wished to achieve the aforementioned goals while maintaining her ethnicity.  Dr. Batniji performed the following:

Septoplasty to straighten the nasal septum, thus improving her ability to breathe through the nose.
Rhinoplasty via an external approach.
Bilateral spreader grafts to maintain the integrity of the middle nasal vault on both sides and, thus, preserve both internal nasal valves.
Dorsal hump reduction (profileplasty) with osteotome to address the bony dorsal hump; a rasp was then used for subtle refinement of the bony nasal dorsum.  Cartilaginous dorsal hump was removed conservatively.  The upper lateral cartilages were preserved to further maintain the integrity of the middle nasal vault and internal nasal valve.
Caudal extension graft to slightly increase projection of the nasal tip, maintain tip rotation, and provide tip support.
Suturing techniques to improve definition of the tip cartilages (lower lateral cartilages).
Tip graft with septal cartilage to provide subtle refinement to the nasal tip; Dr. Batniji utilized morselized cartilage as the tip graft to soften the appearance and provide a natural result.
Bilateral lateral crural grafts to strengthen the alar sidewalls and provide natural contours to the nasal tip.

Procedure: Rhinoplasty

Surgeon: Dr. Batniji

Location: Newport Beach, Ca

Procedure Detail: This 23 year old female presented in consultation with an interest in changing the shape of her nose. Specifically, she desired a straighter nose and refinement of a bump on the top of the nose. Dr Batniji performed the following:

Septo-rhinoplasty via an endonasal (closed) approach to straighten the appearance of the nose, correct a deviated septum, and perform profileplasty to reduce the dorsal hump. The dorsal hump was due to both cartilage and bone. The bony hump was removed with rasping technique and the cartilaginous hump was removed via the endonasal (closed) technique while maintaining the integrity of the internal nasal valve on both sides.