MD, MSPH, FACS
HARVARD-TRAINED BOARD
CERTIFIED PLASTIC SURGEON

Are you considering a rhinoplasty or septoplasty procedure in the future? Dr. Markarian believes that informed patients are the best patients.

Below you can find before and after results of real patients of varying ages, ethnicities, and genders immediately following their procedure.

All photos in this gallery are actual results of Dr. Markarian‘s work. The photos have not been photoshopped in any way.

Photos taken immediately after surgery, and pre-swelling, predominantly at the tip, can often show patients what their nose will look like when all of their eventual swelling goes down.

Immediately after a Rhinoplasty

This patient, shown immediately after a Rhinoplasty, underwent a profile reduction and tip refinement. Multiple cartilage and soft tissue grafts were used to provide long-term stability and structure to the nose to maintain long-term appearance.

Patient's profile view immediately after rhinoplasty, showcasing tip refinement and profile reduction, with visible swelling and Dr. Markarian's logo.

Immediately after a Rhinoplasty

Shown immediately after a Rhinoplasty this patient had a profile reduction and tip refinement. Soft tissue grafts and multiple cartilage grafts were utilized to provide the stability and structure required to maintain the long-term appearance of the nose.

Patient's nose immediately after rhinoplasty, showcasing profile reduction and tip refinement with visible swelling, featuring Dr. Markarian's logo.

Immediately after a Rhinoplasty

This patient, shown immediately after a Rhinoplasty, underwent a profile reduction and tip refinement. Cartilage grafts and soft tissue grafts were used, providing a stable structure to maintain the long-term appearance of the nose.

Rhinoplasty patient profile reduction and tip refinement results, showcasing before-and-after changes in nose structure with visible cartilage grafts, under surgical lighting.

Immediately after a Rhinoplasty

Shown immediately after Rhinoplasty this patient underwent profile reduction and tip refinement. Multiple cartilage grafts and soft tissue grafts were used, providing long-term stability and structure to the nose to maintain its long-term appearance.

Patient's profile view immediately after rhinoplasty, showcasing refined nasal tip and reduced dorsal hump, with visible swelling and surgical dressing, logo of Dr. Markarian in the corner.

Immediately after a Rhinoplasty

Shown immediately after surgery this patient had a Rhinoplasty to reduce the profile of the nose and some refinement to the tip. Multiple cartilage grafts and soft tissue grafts were utilized ensuring long-term stability and structure to the nose to maintain its appearance.

Patient's nose immediately after rhinoplasty showcasing profile reduction and tip refinement, with visible cartilage and soft tissue grafts for long-term stability, against a blue surgical backdrop.

Immediately after a Rhinoplasty

This patient is shown immediately after a Rhinoplasty to reduce her dorsal hump and redefine and narrow her tip. Cartilage grafts and mastoid fascia grafts were used to not only improve her breathing but to help provide long-term stability and structure to the nose, and maintain its appearance long-term.

Patient immediately after rhinoplasty, showcasing component hump reduction, tip de-projection, and tip rotation, with visible signs of surgery including 5 cartilage grafts and a mastoid fascia graft, on a blue surgical drape.

Immediately after a Revision Rhinoplasty

This patient is shown immediately after a Revision Rhinoplasty to narrow the top of the nose down to the tip, deproject the tip, and decrease the nostril show. MTF cartilage and mastoid fascia grafts were used to not only improve her breathing but to help provide long-term stability and structure to the nose, and maintain its appearance long-term.

Patient's profile post-Revision Rhinoplasty showing nasal tip deprojection and reduced dorsal hump, with visible grafts used for structural support and improved breathing, featuring text overlay outlining surgical maneuvers and Dr. Markarian's branding.

Immediately after a Rhinoplasty

This patient is shown immediately after a Rhinoplasty to reduce her dorsal hump, narrow the top of the nose down to the tip, and deproject the tip. MTF cartilage grafts, extended spreader grafts, extended alar contour grafts, a columellar strut, and mastoid fascia were used to not only improve her breathing but to help provide long-term stability and structure to the nose, and maintain its appearance long-term.

Immediately after rhinoplasty, patient profile showing refinement of nose tip, reduction of dorsal hump, and use of grafts for improved breathing and long-term stability, with visible surgical markings.

Immediately after a Rhinoplasty

This patient is shown immediately after a Rhinoplasty to reduce her dorsal hump, refine her tip, and lift her drooping tip. Grafts were used to not only improve her breathing but to help provide long-term stability and structure to the nose, and maintain its appearance long-term.

Rhinoplasty post-operative image showing patient profile before and after surgery, featuring dorsal hump reduction, tip refinement, and grafts for structural stability, with branding for Dr. Markarian, Boston.

Immediately after a Rhinoplasty

This patient is shown immediately after a Rhinoplasty to shorten her nostrils, narrow the top and tip of her nose, and bring down her hump and profile. Grafts were used to not only improve her breathing but to help provide long-term stability and structure to the nose, and maintain its appearance long-term.

Patient immediately after rhinoplasty showing significant hump reduction, tip deprojection, and visible grafts with key maneuvers listed, featuring Dr. Markarian's logo.

Immediately after a Rhinoplasty

These twin patients are shown immediately after a Rhinoplasty to reduce their humps, refine their tips, narrow their noses top to tip, and improve their profiles. Grafts were used to not only improve their breathing but to help provide long-term stability and structure to the nose, and maintain its appearance long-term.

Patient immediately after rhinoplasty showing tip deprojection, asymmetric hump reduction, and grafts for structural stability, with visible post-operative care.
Rhinoplasty post-operative results showing key maneuvers: hump reduction, asymmetric tip deprojection, cartilage and bone grafting, and mastoid fascia graft, by Dr. Markarian in Boston.

Immediately after a Rhinoplasty

This patient is shown immediately after a Rhinoplasty to reduce her hump, deproject her tip, and make her nose appear smaller overall. Grafts were used to not only improve her breathing but to help provide long-term stability and structure to the nose, and maintain its appearance long-term.

Twin patients immediately after rhinoplasty, showcasing significant tip deprojection, hybrid grafting, bone grafting, and cartilage grafting, with visible swelling and incisions, featuring Dr. Markarian's logo and location in Boston.

Immediately after a Rhinoplasty

This patient is shown immediately after a Rhinoplasty to reduce her hump, reduce her midvault, and deproject her tip. Grafts were used to not only improve her breathing but to help provide long-term stability and structure to the nose, and maintain its appearance long-term.

Twin patients immediately after rhinoplasty, showcasing significant hump reduction, midvault reduction, and asymmetric tip deprojection, with visible cartilage and soft tissue grafts, on a blue surgical backdrop, branded with Dr. Markarian's logo.

Immediately after a Rhinoplasty

This patient is shown immediately after a Rhinoplasty to reduce her dorsal hump, narrow her nose from the top down to the tip, straighten out her nose, and refine her tip. Grafts were used to not only improve her breathing but to help provide long-term stability and structure to the nose, and maintain its appearance long-term.

Post-operative rhinoplasty image showing immediate results, featuring asymmetric hump reduction, midvault narrowing, and tip deprojection, with visible grafts including cartilage and bone, branded with Dr. Markarian's logo.

Immediately after a Rhinoplasty

This patient is shown immediately after a Rhinoplasty to reduce her hump, refine her tip, improve symmetry and reduce the overall appearance of her nose. Grafts were used to not only improve her breathing but to help provide long-term stability and structure to the nose, and maintain its appearance long-term.

Patient after rhinoplasty showing asymmetric hump reduction, soft triangle grafting, and use of cartilage and mastoid fascia grafts for improved breathing and long-term stability, with Dr. Markarian branding visible.

Immediately after a Rhinoplasty

This patient is shown immediately after a Rhinoplasty to reduce her dorsal hump, create a narrower nasal bridge & tip, and refine/rotate her tip. Grafts were used to not only improve her breathing but to help provide long-term stability and structure to the nose, and maintain its appearance long-term.

Patient after rhinoplasty showing post-operative changes, including hump reduction, tip refinement, and graft placements for structural support, with key surgical maneuvers listed.

Immediately after a Fourth Revision Rhinoplasty

This patient is shown immediately after her 4th rhinoplasty after having 3 previous nose surgeries with other surgeons. The goal was to improve asymmetries, drainage & irritation of the tip, the appearance of her profile, and breathing. Cadaver and mastoid fascia grafts were used to not only improve her breathing but to help provide long-term stability and structure to the nose, and maintain its appearance long-term.

Patient immediately after fourth rhinoplasty, showcasing profile reduction, significant tip debulking, and grafting techniques for nasal refinement and cushioning, with visible swelling and surgical dressings.

Immediately after a Rhinoplasty

This patient is shown immediately after a Rhinoplasty to reduce her hump, decrease her columella and nostril show, lift and straighten her tip, and narrow her nose. Grafts were used to not only improve her breathing but to help provide long-term stability and structure to the nose, and maintain its appearance long-term.

Patient immediately after rhinoplasty showing post-operative features, including reduction of hump and midvault, asymmetric tip suturing, and grafting techniques, with visible swelling and bruising.

Immediately after a Rhinoplasty

This patient is shown immediately after a Rhinoplasty to reduce the overall size of her nose, lower her profile, and lift her drooping tip. Cartilage grafts and mastoid fascia grafts were used to not only improve her breathing but to help provide long-term stability and structure to the nose, and maintain its appearance long-term.

Patient immediately after rhinoplasty showcasing hump reduction, tip rotation, and use of cartilage and fascia grafts for improved breathing and long-term stability.

Immediately after a Male Rhinoplasty

This patient is shown immediately after a Male Rhinoplasty to reduce his dorsal hump, improve his profile while preserving masculinity, and create a narrower bridge and tip. No more droopy tip when smiling, too!

Immediately after a Revision Rhinoplasty & Septoplasty

This patient is shown immediately after a Revision Rhinoplasty to improve her breathing, further reduce her hump, and refine asymmetries and projection issues in her tip. Fascia grafts were used to not only improve her breathing, but to help provide long-term stability and structure to the nose, and maintain its appearance long-term.

Patient immediately after rhinoplasty showcasing key maneuvers: spreader grafts with MTF cartilage, component hump reduction, caudal septal modification, tip deprojection and rotation, and mastoid fascia tip graft.

Immediately after a Tertiary Rhinoplasty

This patient is shown immediately after a revision Rhinoplasty after having 2 previous nose surgeries with other surgeons. The goals were to further reduce her dorsal hump, improve tip asymmetries, and better define her tip. Fascia & alar contour grafts were used to not only improve her breathing, but to help provide long-term stability and structure to the nose, and maintain its appearance long-term.

Patient immediately after revision rhinoplasty in Boston, showcasing techniques used for hump reduction, asymmetric tip refinement, and breathing improvement with fascia grafts and alar contour grafts.

Immediately after a Rhinoplasty

This patient is shown immediately after a Rhinoplasty to slim down the appearance of her bulbous nose, give her a sleeker profile, and better define her tip. Fascia grafts were used to not only improve her breathing, but to help provide long-term stability and structure to the nose, and maintain its appearance long-term.

Patient immediately after rhinoplasty showcasing subtle hump reduction, tip deprojection, and selective tip debulking, with visible fascia grafting and post-operative swelling, emphasizing surgical techniques used by Dr. Markarian in Boston.

Immediately after a Rhinoplasty

This patient is shown immediately after a Rhinoplasty to reduce her dorsal hump, refine asymmetries, and improve projection issues in her tip.

Patient's profile after rhinoplasty, showing reduced dorsal hump, deprojected and rotated tip, improved asymmetry, with visible surgical markings and swelling.

Immediately after a Rhinoplasty

This patient is shown before, immediately after after a Rhinoplasty to reduce her dorsal hump and refine her nasal tip, and 10 months post-op. Significant cartilage grafting was performed to not only improve her breathing but to help provide long-term stability and structure to the nose, and maintain its appearance long term.

Immediately after rhinoplasty, side profile comparison of patient showing refined nasal tip and reduced dorsal hump, featuring Dr. Markarian's logo.

Immediately after a Rhinoplasty

This patient is shown immediately after a Rhinoplasty to reduce her hump, slim down the appearance of her nose from the top to the tip, and de-project her tip. Cartilage grafts, soft tissue grafts and bone grafts were used to not only improve her breathing, but to help provide long-term stability and structure to the nose, and maintain its appearance long-term.

Patient immediately after rhinoplasty showcasing key maneuvers: asymmetric hump reduction, tip deprojection, five cartilage grafts, mastoid fascia tip graft, and asymmetric septal reduction.

Immediately after a Revision Rhinoplasty and Septoplasty

Immediate postoperative results are shown in this gentleman who underwent a complex Revision Rhinoplasty-Septoplasty.  

He had a subtle hump, a significantly widened and crooked nose, a bulbous tip, and breathing difficulty with a deviated septum that were all corrected.  MTF (cadaver) cartilage was utilized for multiple cartilage grafts to reinforce the changes made to preserve long-term results. Soft tissue grafting to the tip was also performed to optimize an overall tip-defining point and natural result.

Though there’s significant swelling, please note the overall improvement in nose contour and definition at the tip.

Immediate postoperative results of male patient after Revision Rhinoplasty and Septoplasty, showing improved nose contour and definition with visible swelling and surgical markings.

Immediately after a Rhinoplasty and Septoplasty

18-24 year old woman

This patient is shown immediately after after a Rhinoplasty to reduce her dorsal hump and refine her nasal tip.  A septoplasty was also performed to improve her breathing. Significant cartilage grafting was performed to not only improve her breathing but to help provide long-term stability and structure to the nose, and maintain its appearance long term.

Rhinoplasty before-and-after image showing immediate post-operative results of an 18-24 year old woman, highlighting improved nose contour, reduced dorsal hump, refined nasal tip, and initial swelling after surgery.

Immediately after a Rhinoplasty

18-24 year old woman

An immediate photo from the Operating Room after surgery (before the swelling has set in) can show patients what their nose will look like once all the swelling has gone down – this can take up to a year.

18-24 year old woman immediately after rhinoplasty surgery, showing nasal profile with reduced dorsal hump and refined tip, in operating room setting, before swelling onset.

Immediately after a Rhinoplasty

18-24 year old woman

An immediate photo from the Operating Room after surgery (before the swelling has set in) can show patients what their nose will look like once all the swelling has gone down – this can take up to a year.

Immediately after rhinoplasty, side profile of an 18-24 year old woman showing refined nasal tip and reduced dorsal hump, in the operating room.

Immediately after a Male Rhinoplasty

Key maneuvers:

  • Reduction of dorsum/profile
  • Tip de-projection
  • Minimal tip rotation to avoid feminization
  • Nasal bone & cartilage revision for symmetry
Male rhinoplasty results showing immediate post-operative appearance of a man's nose, highlighting reduced dorsal hump and refined tip, with visible surgical markings against a blue background.

Immediately after a Rhinoplasty

Key maneuvers:

  • Dorsal hump reduction
  • Tip rotation w/o de-projection
  • Tip debulking (including nasal filler removal)
  • Extensive mastoid fascia tip grafting
Immediately after rhinoplasty, profile view of a young woman's nose showcasing reduced dorsal hump and refined tip, with visible surgical markings, from Dr. Markarian's practice in Boston.

Immediately after a Rhinoplasty

Key maneuvers:

  • Hump reduction to improve profile
  • Septal reset & spreader grafts to straighten the nose
  • Extended alar contour grafts & soft triangle grafts to reduce nostril show
Immediately after rhinoplasty, showcasing nasal profile and tip de-projection, featuring surgical setting with Dr. Markarian's branding, Boston.

Immediately after a Septorhinoplasty

Key maneuvers:

  • Septoplasty with spreader grafts
  • Component hump reduction
  • Tip de-projection
  • Mastoid fascia tip graft
  • Lateral crural strut graft
  • Alar contour grafts
Immediately post-septorhinoplasty, side profile of patient showing significant dorsal hump reduction, tip de-projection and rotation, with visible sutures and swelling, showcasing Dr. Markarian's rhinoplasty techniques in Boston.

Immediately after a Rhinoplasty

Key maneuvers:

  • Significant dorsal hump reduction
  • Tip de-projection & rotation
  • Multiple soft tissue grafts
Post-operative rhinoplasty results showing significant dorsal hump reduction, tip de-projection, and soft tissue grafting by Dr. Markarian, with visible swelling and incisions.

Immediately after a Rhinoplasty

Key maneuvers:

  • Shortening of length with septal trim and de-projection
  • Component hump reduction
  • Soft tissue grafting with septal cartilage and mastoid fascia
Immediately after rhinoplasty procedure showing profile with reduced dorsal hump, tip de-projection, and visible sutures, branded with Dr. Markarian's logo.

Immediately after a Rhinoplasty

Key maneuvers:

  • Significant hump reduction with rasping & osteotomies
  • Tip de-projection & rotation
  • 5 cartilage grafts
  • Mastoid fascia tip graft
Immediately after rhinoplasty, showcasing significant hump reduction and tip de-projection, featuring cartilage grafts and mastoid fascia, with Dr. Markarian's branding visible.

Immediately after a Rhinoplasty

Key maneuvers:

  • Significant hump reduction & de-projection
  • 5 cartilage grafts – spreaders, alar contour, strut
  • 3 mastoid fascia grafts – tip & soft triangles
  • Significant caudal septal trim & cephalic trims
Immediately post-rhinoplasty image showing significant dorsal hump reduction, tip de-projection, and multiple soft tissue grafts, with visible swelling and bruising around the nose area.

Immediately after a Rhinoplasty

Key maneuvers:

  • Subtle hump reduction
  • Significant osteotomies
  • Tip debulking
  • Multiple mastoid fascia grafts
  • Unilateral soft triangle grafting
Immediately after rhinoplasty, showcasing significant hump reduction and tip de-projection, with visible nasal contours and healing tissues, presented by Dr. Markarian.

Immediately after a Rhinoplasty

Key maneuvers:

  • Component hump reduction
  • Tip de-projection
  • 5 cartilage grafts
  • Mastoid fascia graft
Immediately after rhinoplasty, side profile of patient showcasing significant hump reduction, tip de-projection, and cartilage grafting, with Dr. Markarian's logo in the corner.

Immediately after a Rhinoplasty

Key maneuvers:

  • Subtle component hump reduction
  • Subtle tip de-projection
  • 5 cartilage grafts
  • 5 mastoid fascia grafts
  • Asymmetric alar base reduction
Rhinoplasty post-operative results showcasing before-and-after images of a patient's nose, highlighting tip de-projection and cartilage grafting techniques by Dr. Markarian.

Immediately after a Rhinoplasty

Key maneuvers:

  • Component hump reduction
  • Asymmetric tip de-projection
  • Asymmetric cartilage grafting of tip
  • Asymmetric mastoid fascia grafting of tip and soft triangle
Immediately after a rhinoplasty, showcasing before-and-after results, featuring significant changes to the nasal tip and dorsal area, with visible swelling and sutures, and Dr. Markarian's logo in the corner.

Immediately after a Revision Rhinoplasty

Key maneuvers:

  • Asymmetric dorsal hump reduction
  • Asymmetric midvault debulking
  • Asymmetric supratip debulking
  • Lower lateral cartilage revision
  • Soft tissue grafting
Immediately post-operative rhinoplasty results showing side profile of patient, highlighting tip de-projection and hump reduction techniques by Dr. Markarian, with visible sutures and swelling.

Immediately after a Male Rhinoplasty

Key maneuvers:

  • Hump reduction – multiple techniques
  • Tip de-projection – multiple techniques
  • Septoplasty & polyp removal
  • 6 grafts – cartilage & mastoid fascia
  • Tip rotation
Immediately after male rhinoplasty, showcasing subtle component hump reduction, tip de-projection, and cartilage grafting, with a focus on post-operative results by Dr. Markarian.