facial feminization surgery chicago facial feminization surgery chicago

Still have to perform the tracheal shave. Many variables to control but the post-operative photos demonstrate improved symmetry with all of the patients goals achieved. Dr. Ellis provides his patients with full recovery details that reflect the procedures they have chosen to undergo. Dr. Amir Dorafshar, MD is an internationally recognized plastic, reconstructive and craniofacial surgeon who specializes in Facial Feminization Surgery. Fortunately, the latest surgical techniques and technology have made gender reassignment more common than before. Conveniently Located to Serve Chicago and Illinois Facial feminization is the term given to a collection of procedures designed to make facial features more feminine. Can you tell what surgeries were performed? The Gender Affirmation Surgery Program at Rush University Medical Center offers the full range of state-of-the-art-procedures performed by surgeons who are global leaders in the field of Gender Surgery. In the post-operative photos you can see improvement in the projection of the chin, a more defined jawline and neck, and a more balanced lower 1/3 of the face. In the post-operative photos, the patient has maintained his natural facial features and anatomy, but just looks like a more youthful version of himself. Widening and elongating the nose for a masculine shape. Together you'll come up with your customized surgical plan. Aesthetic and Reconstructive Surgery of the Face, Breast, and Body. Do you remove the excess skin which will leave scars or try to contract the skin with minimally invasive techniques? The cost of gender affirmation surgery depends on the combination of procedures the patient chooses to undergo. 30 Facial Feminization Surgery doctors in Chicago, IL CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. Nose shaping or feminizing rhinoplasty can have a profound effect on the appearance of the entire face. Most patients find it worthwhile to review their plan before a consultation to understand what they are entitled to and what they can expect to pay out-of-pocket. The challenging part of this case relates to how to manage the excess skin and achieve a symmetric result. Facial Feminization Surgery (FFS) is a group of facial procedures that alter the face to create more classically feminine characteristics, such as a higher brow, a more refined feminine nose, and less pronounced Adam's apple. In the pre-operative profile views, you can see a dorsal hump, under-projected tip, and abnormal alar-columellar relationship. It is in a central position of the face, and when it is out of balance, it can create disharmony amongst other features. Facial feminization surgery (FFS) encompasses a series of surgical interventions designed to make your face appear more feminine. Many variables to control but the post-operative photos demonstrate improved symmetry with all of the patients goals achieved. In the post-operative photos you can see improvement in the projection of the chin, a more defined jawline and neck, and a more balanced lower 1/3 of the face. #plasticsurgery #plasticsurgeon #cosmeticsurgery #abdominaletching #hidefliposuction #liposculpture #liposuction #chicago #chicagoplasticsurgery Long term follow-up on a revision mastopexy augmentation case. The patient was missing all three layers of the nose and if you look closely, you can see into the nose and visualize the septum. An in-person consultation is required prior to proceeding with surgery. Posted with permission. Dr. Dorafshar was part of the team that performed the pioneering facial transplant at the University of Maryland in 2012. Dr. Dorafshar will operate on minors with parental consent. (847) 853-8869; . Look closely at the post-operative profile views and how the tip, nostril and columella appear. During your consultation, Dr. Dorafshar will thoroughly discuss the options available to you and show you photographs of previous cases to show the outcomes of what the reconstructions would look like. Rhinoplasty is a common procedure that can smoothen the nasal dorsum, narrow nasal width and refine the tip. Gym or surgery? This patient is 6 months out from a breast augmentation and the access incision we made was at the bottom border of the nipple areolar complex. We achieve this by a combination of thorough preoperative analysis, natural results, and patient guidance through every step, from initial consultation to post-surgical follow-up. In this case I performed liposuction, removed the breast tissue through a nipple incision, and performed #Renuvion to facilitate contraction of the skin. Dr. Patel is one of a few Chicago-based plastic surgeons fellowship-trained to specialize in the field of craniofacial surgery to repair facial differences acquired from trauma, cancer, or at birth. Rushs commitment to equity of care for the LGBTQ+ community extends to all aspects of the institution from patient care and clinical expertise to employment opportunities and employee benefits. At Rush, patients are given expert, personalized care in a culturally sensitive and safe environment. Even though the wound is relatively small, this is a challenging reconstruction because all layers of the nose have to be rebuilt without making the reconstructed area bulky and noticeable. The patient had a previous augmentation with gel implants and wanted the implants removed, breasts lifted, and re-augmented with fat but downsized. The patient had 3 prior rhinoplasty surgeries by another surgeon and was not happy with the aesthetics of the dorsum or tip. #plasticsurgery #plasticsurgeon #cosmeticsurgery #gynecomastia #liposuction #Renuvion #chicago #chicagoplasticsurgery Nasal reconstruction for a patient who had a full thickness defect or hole of the left nostril after Mohs surgery to remove a basal cell carcinoma. Office-based solutions like the use of Botox, fillers, hair removal and skin resurfacing can help achieve a patients desired outcome. In this case the dorsal hump was removed, the nose made straighter, the tip refined, and the tip rotated and projected more. The goal of the surgery was to make the nose straighter, improve the dorsum and tip proportions, increase tip projection, and improve the alar-columellar relationship. I am so pleased. #plasticsurgery #plasticsurgeon #cosmeticsurgery #breastlift #breastaugmentation #mommymakeover #fattransfer #chicago #chicagoplasticsurgery 1 year follow-up on a primary rhinoplasty. The procedure is performed as an outpatient and can have drastic changes in the facial appearance. CareCredit credit card can help finance cosmetic surgery, minimally invasive procedures, dermatology expenses and more. Together youll come up with a surgical plan. On frontal view, there are asymmetries of the dorsal aesthetic lines and C-shape deviation of the nose. Additionally, the reconstructed side is symmetric with the unaffected side. Get to know Dr. Shifrin yourself by scheduling an in-person or virtual consultation today. Many ways to do a breast augmentation but the periareolar incision is a great option because the scar becomes imperceptible as the scar matures. 1 year follow-up on a primary rhinoplasty. Cosmetic surgery can alter these features to provide a softer more feminine brow and forehead region. Dorafshar offers virtual and in-person consultations for a fee of $100. Its hard to see the scar at this point and the scar gets even better at the 12-18 month mark. We had a great time hosting the 60th Annual Midwestern Association of Plastic Surgeons (MAPS) meeting in Chicago this past weekend, where I finished my tenure as president. Dr. Dorafshar is so precise. We are committed to protecting your privacy and well-being through every step of his process (consultation, surgery and recuperation). Posted with permission. This patient is transfemale who underwent facial feminization. Dr. Dorafshar is a member of WPATH and follows the Standards of Care guidelines for gender-affirming surgery. The other incisions that plastic surgeons use include an incision underneath the breast, at the breast fold, or the armpit. This patient is 6 months out from a breast augmentation and the access incision we made was at the bottom border of the nipple areolar complex. Posted with permission. His office Checks on patients periodically as promised before, during, and after surgery! Facial Feminization Surgery Facial Feminization Surgery Jaw reduction, Forehead contouring, Eye brow lift Jaw reduction, Forehead contouring, Eye brow lift Jaw reduction, Forehead contouring, Eye brow lift Jaw reduction, Forehead contouring, Eye brow lift Jaw reduction, Forehead contouring, Eye brow lift Happy for this patient who underwent full facial rejuvenation surgery, which included a brow lift, upper/lower blepharoplasty, facelift, neck lift, and facial fat transfer. Copyright Trans Media Network, 2013-document.write(new Date().getFullYear());. Patients were stratified into 3 groups based on authorization process: Group A (standard approval, n = 26, 65.0%) including public and private insurances; Group B (extended approval, n = 10, 25.0%) consisting of private . However, true transformation may require surgical solutions that combine an understanding of how gender and ethnicity interplay. Depending on the desired outcome, these procedures may include: At the Plastic Surgery Clinic of Chicago, we take the time to explain all aspects of each procedure during a consultation, including associated risks and recovery. This case was challenging because of the asymmetries of the nipples; trying to lift, augment, and level the nipples all at the same time is difficult. The patient is athletic and therefore it was very important to her to have a smaller augmentation that appeared natural. We also had the largest overall attendance in recent memory. Copyright TransHealthCare.org & Trans Media Network, 2011-2022. In this case I performed liposuction, removed the breast tissue through a nipple incision, and performed #Renuvion to facilitate contraction of the skin. In the pre-operative profile views, you can see a dorsal hump, under-projected tip, and abnormal alar-columellar relationship. In the post-operative photos, you can see the breast/nipples are lifted to a more aesthetic position and we were able to maintain volume, although smaller, with fat transfer alone. Copyright Trans Media Network, 2013-document.write(new Date().getFullYear());. Soft tissue feminization may include performing a facelift, forehead/brow lift, and lip augmentation with injectable fillers (e.g., Restylane, Juvederm, etc.). The patient underwent a sliding #genioplasty, custom #mandibularimplants, and #neckliposuction to achieve his goals. Posted with permission. 6 month follow-up on a mastopexy augmentation case. The patient was missing all three layers of the nose and if you look closely, you can see into the nose and visualize the septum. Before deciding to undergo facial feminization, consult with your board-certified plastic surgeon in Chicago and make sure you understand the process of each individual procedure. I had the best experience with Dr. Dorafshar and his team. Living in a body that feels foreign can be a challenging situation that leads to unnecessary stress and anxiety. COVID-19 Information; Call us now! Explore the Zukowski Center #plasticsurgery #plasticsurgeon #facelift #necklift #blepharoplasty #eyelidlift #browlift #fattransfer #chicago #chicagoplasticsurgery Amazing transformation for this lovely patient who wanted to have fuller, more symmetric, youthful, and natural breasts. Posted with permission. He serves as Division Chief of Plastic & Reconstructive Surgery at Rush University Medical Center in Chicago, and Program Director of the Plastic & Reconstructive Surgery Fellowship. Rush University Medical Center accepts insurance from a wide range of insurance companies, as well as Medicaid and Medicare. On frontal view, there are asymmetries of the dorsal aesthetic lines and C-shape deviation of the nose. Posted with permission. Look closely at the post-operative profile views and how the tip, nostril and columella appear. The scars have healed nicely and are inconspicuous even with short hair. This may include changes to the forehead, eyelids, nose, chin, jawline or neck. In the post-operative photos, the patient has natural washboard abs. Your care is seamlessly coordinated to make the process as easy as possible. During your confidential consultation, Dr. Turowski will assess and go over with you the aesthetics and structure of your specific physical situation and design a transformation plan that is exactly right for you. The Rhinoplasty, in Male to Female Transgender patient aims to soften and refine . - Patient, Google Reviews. Financing and InsuranceRush University Medical Center accepts insurance from a wide range of insurance companies, as well as Medicaid and Medicare. In this study, we looked at the published literature to develop guidelines on how to treat visual impairments related to droopy eyelids and excess skin of the eyelids. In addition to plastic surgery training, he has undergone additional fellowship training in craniofacial reconstructive and aesthetic surgery, and has performed thousands of operations over the course of his career. Early follow-up on a #facialmasculinization surgery for a trans male who wanted to improve the contour of the lower 1/3 of the face and neck. No matter what look you want to achieve, we are confident that we can help you look and feel like the best version of yourself. It can also shorten the distance from the nose to the lip. Masculinizing: Forehead Lengthening and Augmentation, Cheek Augmentation, Rhinoplasty, Chin Recontouring, Jaw Contouring, Adams Apple Augmentation. Dr. Dorafshar performs the following gender-affirming facial surgeries: The Gender Affirmation Program at Rush University Medical Center offers an environment that is respectful, inclusive and culturally competent. You may be a good candidate for facial feminization if you are a female who believes your facial features appear too masculine, a male who wants to improve the attractiveness of your face, or if you are transitioning from male to female. Can you see the improved contour of the chin, jawline, and neck in the post-operative photos? Sitemap | HIPAA | Privacy Policy | Terms of Use Marketing and SEO by NKP. We re-built the nose using tissue from his forehead or a #forehead flap. FFS can include hairline lowering, jaw reduction, rhinoplasty (nose reshaping), eyelid surgery, face or neck lift, and other facial changes. Facial feminization, also sometimes referred to as gender reaffirmation surgery, is a relatively new concept in the field of plastic surgery; the individual procedures that encompass it, however, are well-practiced by our staff at the Plastic Surgery Clinic of Chicago. The patient had 3 prior rhinoplasty surgeries by another surgeon and was not happy with the aesthetics of the dorsum or tip. Posted with permission. All rights reserved. Early follow-up on a #facialmasculinization surgery for a trans male who wanted to improve the contour of the lower 1/3 of the face and neck. We used computer software to design the cuts in the bone and #3Dprinting to make the custom mandibular implants. Up to 50% of Dr. Dorafshars patients are transgender or non-binary. Individualized Care and a Full Range of Gender-Affirming Procedures Our surgeons can perform a wide array of masculinizing and feminizing procedures to affirm your identity and enhance your appearance. Further information is provided in our Privacy Policy. You can trust that our professional staff has your safety and well-being in mind at all times. Male patient in his late 60s who was able to turn back the clock after undergoing a #facelift, #neck lift, #blepharoplasty, and #fattransfer. Highly recommend. Patient, Google Reviews. Challenging #gynecomastia case where the patient had grade 2/3 gynecomastia or male breasts with excess skin and significant asymmetries. This case highlights the advantages of a genioplasty versus a chin implant, a chin implant cannot lengthen and advance the chin to the same extent that a genioplasty can. Posted with permission. Many ways to do a breast augmentation but the periareolar incision is a great option because the scar becomes imperceptible as the scar matures. Posted with permission. #plasticsurgery #plasticsurgeon #craniofacialsurgery #FFS #facialfeminization #chicago #chicagoplasticsurgery 6 month follow-up on a mastopexy augmentation case. Many ways to do a breast augmentation but the periareolar incision is a great option because the scar becomes imperceptible as the scar matures. #plasticsurgery #plasticsurgeon #MAPS #MidwesternAssociationofPlasticSurgeons #chicago #chicagoplasticsurgery Make sure your plastic surgeon is board certified by the American Board of Plastic Surgery. In this case I performed liposuction, removed the breast tissue through a nipple incision, and performed #Renuvion to facilitate contraction of the skin. His team of nurses; as well as doctors were kind, caring, and comforting! Dr. Ellis practices all aspects of plastic surgery but has expertise in reconstructive surgery of the face. Dr. Amir Dorafshar, MD is a plastic, reconstructive and craniofacial surgeon who specializes in gender-affirming facial surgery. The patient had 3 prior rhinoplasty surgeries by another surgeon and was not happy with the aesthetics of the dorsum or tip. His hands are magic. Financing options are available for patients who would prefer to make payments toward the total cost of their procedures. The World Professional Organization for Transgender Health (WPATH) has adopted facial feminization and masculinization surgery as both medically necessary and essential to the well-being of transgender individuals. This patient is transfemale who underwent facial feminization. Dr. Amir Dorafshar Internationally Recognized Expert in Facial Surgery. Male patient in his late 60s who was able to turn back the clock after undergoing a #facelift, #neck lift, #blepharoplasty, and #fattransfer. Posted with permission. The cost of facial feminization varies greatly by individual, and insurance rarely covers this procedure. A trachea shave (adams apple reduction) can be an effective, satisfying and long-lasting solution for MTF patients. A tracheal shave gives the neck a smoother contour with a less pronounced Adams apple. To make an appointment, call 1-888-824-0200 and ask for the Trans CARE clinic, or email us at TransgenderCARE@bsd.uchicago.edu. Proud of our research team for getting this important manuscript published in the #1 plastic surgery journal in the world. Its hard to see the scar at this point and the scar gets even better at the 12-18 month mark. Rhinoplasty surgery utilizes techniques such as cartilage removal, nasal bone manipulation and/or tip shaping. Offering a Full Scope of Feminizing and Masculinizing Surgeries Our plastic and reconstructive surgeons, urologists, gynecologists and laryngeal surgeons can perform a wide range of feminizing and masculinizing operations to enhance your appearance and help you achieve harmony with your gender identity. In the post-operative photos, you can see a nice reconstruction of the nostril with restored form and function. On frontal view, there are asymmetries of the dorsal aesthetic lines and C-shape deviation of the nose. Dr. Dorafshar is available for both virtual and in-person consultations for a fee of $100. Overall, still her nose but more refined and aesthetic. Posted with permission. Her new nose fits her face without overtly changing the ethnic features of her face. Posted with permission. Pay close attention to the bags underneath the eyes, the jawline, and neck. Posted with permission. #plasticsurgery #plasticsurgeon #cosmeticsurgery #facelift #necklift #blepharoplasty #chicago #chicagoplasticsurgery We had a great time hosting the 60th Annual Midwestern Association of Plastic Surgeons (MAPS) meeting in Chicago this past weekend, where I finished my tenure as president. Posted with permission. Due to his extensive experience in complex craniofacial reconstruction, Dr. Patel has unique experience and skills in performing aesthetic plastic surgery of the face, breast, and body for both males and females. This results in making you appear more angry or tired than you actually feel Read More. Dr. Amir Dorafshar, MD is an internationally recognized plastic, reconstructive and craniofacial surgeon who specializes in Facial Feminization Surgery. #plasticsurgery #plasticsurgeon #cosmeticsurgery #breastaugmentation #gelimplants #gummybearimplants #chicago #chicagoplasticsurgery One year follow-up on a #BBL or Brazilian butt lift. He is part of the team of providers at the Gender Affirmation Surgery Program at Rush. Rush Otolaryngology, Head and Neck Surgery - Chicago 1611 W Harrison St Orthopedic Building - Suite 550 Chicago, IL 60612 (312) 942-6100 Get Directions Show Hours + Make an Appointment View Location Rush Plastic Surgery/Rush Craniofacial Center 1725 W Harrison St Professional Building - Suite 425 Chicago, IL 60612 (312) 563-3000 Can you tell what surgeries were performed? This patients goals were a straighter profile, smaller and more refined tip, and a nose that was not drastically different. 600, Chicago, Illinois, 737 N. Michigan Ave., Ste. It is designed to improve the appearance of the nose and, in some cases, to improve breathing. Also, you have to make the area strong enough so that the nostril doesnt collapse as the area heals and scars. One year follow-up on a #BBL or Brazilian butt lift. The wait time for a consultation is two weeks. How much younger does he look now? Proud of our research team for getting this important manuscript published in the #1 plastic surgery journal in the world. In the post-operative photos, the patient has natural washboard abs. Decided to talk about my ffs experience. Rhinoplasty, commonly referred to as a nose job, is a surgical procedure performed to correct a wide variety of functional and aesthetic issues in the nose and nasal airways. Cheek implants can create an angular shape for the face. #plasticsurgery #plasticsurgeon #cosmeticsurgery #abdominaletching #hidefliposuction #liposculpture #liposuction #chicago #chicagoplasticsurgery Long term follow-up on a revision mastopexy augmentation case. Lymphovenous bypass, Flap surgery, Body lift after weight loss, Breast reconstruction with flap surgery, Abdominal wall. 2023 Plastic Surgery Clinic of Chicago - All Rights Reserved. It is flatter in shape than a feminine brow and has a strong projection created by an underlying bony ridge. This patient has a very natural result using only fat from her abdomen to restore volume. Gender Affirmation Surgery Program at Rush. Long term follow-up on a revision mastopexy augmentation case. Each incision has their pros and cons but the periareolar is my preferred approach. Posted with permission. The scars have healed nicely and are inconspicuous even with short hair. Posted with permission. In the pre-operative profile views, you can see a dorsal hump, under-projected tip, and abnormal alar-columellar relationship. This guides us in avoiding the vocal chords and allowing us to remove and contour the trachea cartilage. He also schedules periodic appointments to check on his patients progress and ensure that the results of surgeries performed are successful. Also, nipple sensation is unaffected after surgery. Dr. Amir Dorafshar, MD is a plastic and reconstructive surgeon with fellowship training in craniofacial surgery who specializes in gender-affirming facial surgery. Thank you Dr. Dorafshar and team for everything!! Even though the wound is relatively small, this is a challenging reconstruction because all layers of the nose have to be rebuilt without making the reconstructed area bulky and noticeable. While I personally liked the other doctor and had some improvement, it was not as good as I would have liked. The intraoral approach allows for excess bone to be reduced and reshaped to improve the appearance of the lower third of the face. Facial feminization and masculinization surgery (also known as gender affirmation surgery) refers to a number of procedures that can be performed to transform the face for a softer, more feminine appearance or an angular, more masculine appearance, respectively. Read this first. "Dr. Dorafshar is an incredible surgeon! #plasticsurgery #plasticsurgeon #skincancer #nasalreconstruction #nosejob #rhinoplasty #chicago #chicagoplasticsurgery A 1 year follow-up on a patient who wanted a rhinoplasty to remove the dorsal hump and improve the aesthetics of her tip. The goal of facial feminization surgery, or feminizing facial surgery, is to transform the masculine features of the face to a more feminine or nonbinary appearance. The patient underwent a sliding #genioplasty, custom #mandibularimplants, and #neckliposuction to achieve his goals. She always responds expeditiously during and after office hours!! 115, Chicago, Illinois, 777 N Green St., Ste. #plasticsurgery #plasticsurgeon #cosmeticsurgery #breastlift #breastaugmentation #mommymakeover #fattransfer #chicago #chicagoplasticsurgery 1 year follow-up on a primary rhinoplasty. Dr. Ellis can perform traditional cosmetic procedures with the goal of making facial features appear more masculine or feminine. 6 month follow-up on a mastopexy augmentation case. Facial feminization surgery is a series of procedures that can reshape the face and its features to achieve a more feminine appearance. Dr. Dorafshar is an international leading expert in microvascular reconstruction and craniofacial surgery. Pay close attention to the bags underneath the eyes, the jawline, and neck. If you have been considering a mini facelift, then keep reading to find out what it entails. Jaw or mandible contouring is performed through scars hidden in the inside of the mouth. #plasticsurgery #plasticsurgeon #cosmeticsurgery #breastaugmentation #mastopexy #breastlift #gummybear #chicago #chicagoplasticsurgery 6 month follow-up on a challenging revision rhinoplasty case. #plasticsurgery #plasticsurgeon #cosmeticsurgery #breastaugmentation #gelimplants #gummybearimplants #chicago #chicagoplasticsurgery One year follow-up on a #BBL or Brazilian butt lift. The scars have healed nicely and are inconspicuous even with short hair. To give some background, I had brow bossing/brow lift done by another doctor first. Generally, facial feminization combines procedures to add volume to the midface/cheeks and soften angular areas of the face including the jawline and lower forehead. | Website designed & developed by Ceatus Media Group, LLC. Dr. Patel is very informative, and professional, and has impeccable bedside manners! Her new nose fits her face without overtly changing the ethnic features of her face. The patient is athletic and therefore it was very important to her to have a smaller augmentation that appeared natural. In the post-operative photos you can see the dorsal hump was removed and the nasal bones narrowed, the tip was refined, rotated, and projected more. 2335 South Michigan Avenue Floor 2, Chicago, IL 60616, 2335 South Michigan Avenue Floor 2, Chicago IL 60616, 2023 Shifrin Plastic Surgery | All Rights Reserved | Sitemap | Privacy Policy | Accessibility. In the post-operative photos, the patient has maintained his natural facial features and anatomy, but just looks like a more youthful version of himself. For a better experience, please enable JavaScript. The Transgender and Intersex Specialty Care Clinic (TISCC) provides integrated medical, psychosocial and surgical intervention to individuals with gender dysphoria/incongruence and to those with differences of sexual development (intersex). The MAPS organization is great hands and I am excited about its future. He prescribes medication to help manage any post-surgical discomfort and provides tips for minimizing swelling to accelerate the healing process. Dr. Dorafshar has co-authored more than 140 indexed articles, written several book chapters and co-edited a textbook on facial trauma surgery. Our goal is to help patients not only look, but feel like the best version of themselves. As you can see from the post-operative photos, the fat that is transferred stays and is permanent. The patient had 3 prior rhinoplasty surgeries by another surgeon and was not happy with the aesthetics of the dorsum or tip. The patient underwent explantation of the implants, a capsulectomy, a breast lift, and fat transfer to augment the breasts. RealSelf Verified doctors complete our multistep verification process and meet rigorous requirements to become our most trusted plastic surgeons and cosmetic procedure providers. In the post-operative photos, you can see the breast/nipples are lifted to a more aesthetic position and we were able to maintain volume, although smaller, with fat transfer alone. Posted with permission. 3 month follow-up on this patient who wanted improvement in the projection of her chin and definition of the jawline. At Shifrin Plastic Surgery in Chicago, common facial feminization procedures in transgender patients include; feminizing rhinoplasty, brow lift, hairline lowering, brow bone reduction, jaw bone contouring and tracheal shaving. No patient has perfectly symmetric breasts, which is normal. The MAPS organization is great hands and I am excited about its future! Additionally, the reconstructed side is symmetric with the unaffected side. So I got the surgery almost 2 years. Our philosophy is to individualize each surgical procedure to your unique needs and anatomy using the latest state of the art techniques. Look closely at the post-operative profile views and how the tip, nostril and columella appear.