Highly Regarded Plastic and Reconstructive Surgeon Dr. Dean Toriumi Featured in Article on Revision Rhinoplasty in “New Beauty” Magazine

MARINA DEL REY, CA, January 22, 2010 /24-7PressRelease/ — Dean Toriumi, a Professor in the Division of Facial Plastic and Reconstructive Surgery in the Department of Otolaryngology – Head & Neck Surgery at UIC, was approached by the magazine to participate in a story on patients who have undergone nose surgery and seek a secondary – or “revision” – procedure to correct it. The editors of the magazine wanted to send a patient whom they chose to be treated by De. Dean Toriumi, a noted expert in revision rhinoplasty. Toriumi was introduced to the patient, a woman who had undergone two nose surgeries in Brazil, and a consultation with Dr. Toriumi was followed by secondary rhinoplasty surgery.

The patient had originally sought rhinoplasty, Dr. Dean Toriumi said, due to a wide nasal tip and thick skin, seeking to have her nasal tip narrowed and refined. But the first surgery left her with a wider nose with a poorly defined nasal tip, Dean Toriumi said, along with a polybeak deformity (a fullness in the nasal supratip due to scar tissue formation and poor tip structure) on her profile.

Unhappy with the results, she went back to the surgeon in Brazil for a second surgery, but after the revision was left with an even wider nose and no improvement in her profile, Toriumi said. She then sought a rhinoplasty specialist to reverse and correct both the original flaws and those resulting from the two rhinoplasties.

Through “New Beauty” magazine, the patient was introduced to Toriumi and was followed throughout her experience with him, from initial consultation, to surgery, and the postoperative outcome, with which she is happy, she told the magazine.

“When I first saw the patient, I noted that her nasal tip was very wide and that she had very thick skin,” Toriumi said. “She also had a polybeak deformity with a lot of scarring in the tip of her nose. Her profile was unfavorable due to the fullness in the supratip area which was compounded by her low bridge.”

“Correction of her deformity required an external rhinoplasty approach with use of costal cartilage to restructure her nose. Good structure and support were critical to giving her a good cosmetic outcome.”

After going over the surgery and discussing follow-up and postoperative expectations, the patient underwent computer imaging of her nose. The computer imaging showed her the proposed realistic outcome, as well as an increase in her tip projection and a slight elevation of the dorsum of her nose. She liked the imaging and understood that because of her thick skin, the healing will take time. Toriumi told her she should expect full healing of her nose to take several years, with 30 percent healing projected at one year and 40 percent projected at two years.

For the surgery, the woman flew to Chicago, where she stayed in a local hotel for one week. The surgery was performed in a surgicenter close to Dr. Dean Toriumi’s office. At the time of surgery, Dr. Toriumi noted a tremendous amount of scar tissue and deformed nasal tip cartilages. “After opening the nose we noted tremendous scar tissue in her nasal tip with an abnormal tip cartilage anatomy,” Toriumi noted.

“Correction required harvesting rib cartilage from her chest. A 1.5 cm incision was made at the bottom of her right breast and the cartilage was harvested. During the surgery I removed a great deal of scar tissue and repositioned her abnormally-oriented tip cartilages and placed a tip graft to give her improved tip definition.”

“I also placed a cartilage graft on her bridge to help stretch her thick skin and create a narrowing effect on the frontal view,” Toriumi added. “Her surgery went well and the contour of her nose was very good at the end of the surgery.”

Postoperatively the patient did well and she complained of little pain or discomfort. She saw Toriumi in his office the day after surgery and was comfortable, with minimal bruising or swelling. On the seventh day after surgery, her cast and sutures were removed. “Her nose was swollen but looked better right away,” Toriumi said. “This improvement was due to the scar excision and the addition of grafts to her nose to provide structure.”

The patient went home on the seventh day after surgery and was instructed to avoid salty foods and to take antibiotics as directed. She returned to Chicago a couple of weeks after surgery for follow-up. “During this visit, it was clear she looked better, as her nasal swelling had decreased,” Dr. Dean Toriumi noted, adding that the woman was happy with the initial outcome and was following his postoperative instructions.

Postoperatively the patient’s nose contour is dramatically improved with improved nasal tip definition and a much narrower look on the frontal view. On the profile she has a relatively straight dorsum without the unsightly look of the polybeak deformity, Toriumi said. Additionally, her nose better balances with the remainder of her facial features.

The patient returned to New Beauty offices and was photographed and interviewed a couple of months after her surgery. In the magazine, she stated how happy she was with her outcome, saying “One week after surgery [with Dr. Toriumi] my nose already looked better than it had in four years, since my very first surgery. While it’s only been a few weeks since the second revision surgery, I’m very happy with how my nose looks. I’m glad I found a doctor who specializes in rhinoplasty revisions and I’m happy with the outcome.”

For more information, please contact Dr. Dean Toriumi, MD
(312) 255-8812

60 East Delaware Place, Suite 1460
Chicago, IL 60611

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