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

Immediate Rhinoplasty & Septoplasty Results by Dr. Markarian

Below, you can explore before and after rhinoplasty results from real patients of different ages, ethnicities, and genders, photographed at various stages of healing and recovery following their nose surgery procedures.

All before and after rhinoplasty photos in this gallery showcase actual post-operative results from procedures performed by Dr. Markarian, a trusted plastic surgeon Boston patients rely on for natural-looking outcomes. Images have not been altered in any way other than standard cropping.

Reviewing rhinoplasty results is an important step when considering cosmetic surgery or nasal reconstruction. As you browse these patient transformations, you may begin to identify the specific nasal concerns you would like to address and better understand the aesthetic improvements possible through rhinoplasty.

Whether your goals involve cosmetic enhancement, improved facial balance, or functional nasal reconstruction, Dr. Markarian provides personalized treatment plans tailored to each patient’s needs.

If you would like to learn more about rhinoplasty and nose surgery, we invite you to explore our blog articles, including Most Frequently Asked Questions About Rhinoplasty and Rhinoplasty: How Can I Afford It?

Immediately after a Revision Rhino-Septoplasty

This revision rhino-septoplasty procedure involved a subtle hump reduction, streamlined to the tip, where the middle third of the nose was reduced, the nasal tip was derotated, deprojected, and lengthened, and nostril show was also decreased. All this served to create a smooth, natural feminine contour.

Multiple cartilage and soft tissue grafts were used to strengthen nasal support, enhance contour, and improve airway function. The immediate post-operative result shows a more refined nasal shape with preserved natural proportions and improved structural support for better breathing and long-term stability.

Immediately after a Rhino-Septoplasty

This rhino-septoplasty procedure addressed both cosmetic refinement and nasal function. A streamlined profile was created with a reduction of the subtle hump and middle third of the nose. Also, a number of changes were performed to the nasal tip, which included tip deprojection, derotation, and lengthening.

All these changes served to improve the overall nasal definition and balance. Multiple cartilage and soft tissue grafts were used to strengthen nasal support, enhance contour, and improve airway function. The immediate post-operative result shows a more refined nasal shape with preserved natural proportions and improved structural support for better breathing and long-term stability.

Immediately after a Revision Rhino-Septoplasty

This rhino-septoplasty procedure addressed both cosmetic refinement and nasal function. Cosmetic changes included a dorsal hump reduction, midvault reduction, nasal tip deprojection, and nasal tip rotation. Multiple cartilage grafts were used to strengthen nasal support and improve airway function.

The immediate post-operative result shows a more refined nasal shape with preserved natural proportions and improved structural support for better breathing and long-term stability.

Immediately after a Rhinoplasty

This rhino-septoplasty procedure addressed both cosmetic refinement and nasal function. Cosmetic changes included a dorsal hump reduction, midvault reduction, nasal tip deprojection, and nasal tip rotation. Multiple cartilage grafts were used to strengthen nasal support and improve airway function.

The immediate post-operative result shows a more refined nasal shape with preserved natural proportions and improved structural support for better breathing and long-term stability.

Immediately after a Rhinoplasty

Immediately after a Rhinoplasty

This rhinoplasty procedure focused on subtle refinement while preserving a natural appearance. A conservative hump reduction smoothed the nasal bridge, while tip refinement enhanced shape and definition for improved facial balance. Multiple structural grafts were utilized to support the nasal framework, maintain long-term stability, and optimize contour.

The immediate post-operative result demonstrates a softer, more refined profile with preserved natural harmony.

Immediately after a Rhinoplasty

Immediately after a Rhino-Septoplasty

This rhino-septoplasty procedure focused on refining the nasal profile while improving overall nasal function. Hump reduction created a smoother bridge contour, while tip derotation and deprojection helped achieve a more balanced, natural-looking nasal shape.

Functional corrections were also performed to improve airflow and breathing support. The immediate post-operative result demonstrates enhanced facial harmony with preserved structural integrity and improved nasal breathing.

Immediately after a Rhino-Septoplasty

This rhino-septoplasty procedure focused on improving both nasal aesthetics and breathing function. Profile reduction softened the nasal bridge, while tip deprojection and rotation created a more balanced and natural nasal shape.

The procedure also reduced nostril show for improved facial harmony and refinement. Functional corrections were performed to enhance airflow and breathing support, resulting in a smoother profile with improved nasal balance and structure.

Immediately after a Rhino-Septoplasty

Immediately after a Rhino-Septoplasty

This rhino-septoplasty procedure focused on creating a softer, more balanced nasal profile while improving nasal function. Tip deprojection and refinement were performed to reduce prominence and enhance definition, while profile reduction helped smooth the nasal bridge for a more natural contour. Functional corrections were also made to improve airflow and breathing. The immediate post-operative result demonstrates improved facial harmony with maintained structural support and enhanced nasal function.

Immediately after a Rhino-Septoplasty

Immediately after a Rhino-Septoplasty

This revision rhino-septoplasty focused on refining the nasal profile while preserving a strong, natural, masculine appearance. Profile reduction smoothed the nasal bridge, and tip refinement enhanced definition and balance without over-rotation.

Functional corrections were also performed to improve airflow and breathing support. The immediate post-operative result demonstrates improved facial harmony with a natural contour and stronger nasal function.

Immediately after a Rhino-Septoplasty

Immediately after a Rhinoplasty

This rhinoplasty procedure focused on creating a softer, more balanced nasal profile while improving nasal function. Tip deprojection and refinement were performed to reduce prominence and enhance definition, while profile reduction helped smooth the nasal bridge for a more natural contour. Functional corrections were also made to improve airflow and breathing. The immediate post-operative result demonstrates improved facial harmony with maintained structural support and enhanced nasal function.

Immediately after a Rhino-Septoplasty

Immediately after a Rhino-Septoplasty

This revision rhino-septoplasty focused on restoring both nasal aesthetics and function. The procedure included tip de-rotation and tip de-projection to create a more natural angle and softer profile, while tip lengthening improved overall nasal balance and support.

Structural techniques were also used to enhance airflow and improve breathing. The immediate post-operative result demonstrates a smoother, more proportionate nasal contour with strengthened support and improved functional stability.

Immediately after a Rhino-Septoplasty

Immediately after a Rhino-Septoplasty

This rhino-septoplasty procedure focused on enhancing both nasal appearance and function. The dorsal hump was reduced to create a smoother, more balanced profile, while tip refinement improved nasal definition and symmetry.

Multiple structural maneuvers were also performed to support the airway and improve breathing. The immediate post-operative result demonstrates a refined nasal contour with preserved natural proportions and improved functional support.

Immediately after a Rhino-Septoplasty

Immediately after a Rhino-Septoplasty

This rhino-septoplasty procedure combined cosmetic refinement with functional nasal improvement. The dorsal hump was reduced to create a smoother profile, while tip deprojection helped achieve a softer, more balanced nasal appearance.

Multiple structural grafts were placed to support the nose, improve contour, and maintain long-term stability. The procedure also addressed breathing concerns, helping enhance nasal airflow while preserving natural facial harmony.

Immediately after a Rhino-Septoplasty

Immediately after a Rhino-Septoplasty

This rhino-septoplasty procedure addressed both cosmetic refinement and nasal function. The nasal hump was reduced to create a smoother profile, while tip refinement improved overall definition and balance.

Multiple cartilage and soft tissue grafts were used to strengthen nasal support, enhance contour, and improve airway function. The immediate post-operative result shows a more refined nasal shape with preserved natural proportions and improved structural support for better breathing and long-term stability.

Immediately after a Rhino-Septoplasty

Immediately after a Septoplasty

Shown immediately after Rhinoplasty, this patient underwent profile reduction and tip refinement.

Multiple cartilage and soft tissue grafts were used, providing long-term structural support and maintaining the nose’s appearance.

Immediately after a Rhino-Septoplasty

Immediately after a Septoplasty

This septoplasty procedure focused on improving both nasal breathing and structural alignment. The deviated septum was straightened to restore proper airflow, weakened nasal valves were repaired to improve breathing support, and the nasal bones were carefully realigned for better symmetry and function.

The post-procedure image demonstrates a straighter nasal profile with improved structural balance while maintaining a natural appearance.

Immediately after a Rhino-Septoplasty

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.

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.

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.

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.

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.

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 shown immediately before and after a rhinoplasty

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 shown immediately before and after a revision rhinoplasty

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 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.

Patient shown immediately before and after a rhinoplasty

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.

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.

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.

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.

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.

Patient shown immediately before and after a rhinoplasty

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.

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 shown immediately before and after a rhinoplasty

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 shown immediately before and after a fourth revision rhinoplasty

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.

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 shown immediately before and after a rhinoplasty

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 shown immediately before and after a revision rhinoplasty & septoplasty

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 shown immediately before and after a third revision rhinoplasty

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 shown immediately before and after a rhinoplasty

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 shown immediately before and after a rhinoplasty

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 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.

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.

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.

Patient shown immediately before and after a rhinoplasty & septoplasty

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.

Patient shown immediately before and after a rhinoplasty

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.

Patient shown immediately before and after a rhinoplasty

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
Patient shown immediately before and after a male rhinoplasty

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
Patient shown immediately before and after a rhinoplasty

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
Patient shown immediately before and after a rhinoplasty

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
Patient shown immediately before and after a rhinoplasty

Immediately after a Rhinoplasty

Key maneuvers:

  • Significant dorsal hump reduction
  • Tip de-projection & rotation
  • Multiple soft tissue grafts
Patient shown immediately before and after a rhinoplasty

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
Patient shown immediately before and after a rhinoplasty

Immediately after a Rhinoplasty

Key maneuvers:

  • Significant hump reduction with rasping & osteotomies
  • Tip de-projection & rotation
  • 5 cartilage grafts
  • Mastoid fascia tip graft
Patient shown immediately before and after a rhinoplasty

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
Patient shown immediately before and after a rhinoplasty

Immediately after a Rhinoplasty

Key maneuvers:

  • Subtle hump reduction
  • Significant osteotomies
  • Tip debulking
  • Multiple mastoid fascia grafts
  • Unilateral soft triangle grafting
Patient shown immediately before and after a rhinoplasty

Immediately after a Rhinoplasty

Key maneuvers:

  • Component hump reduction
  • Tip de-projection
  • 5 cartilage grafts
  • Mastoid fascia graft
Patient shown immediately before and after a rhinoplasty

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
Patient shown immediately before and after a rhinoplasty

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
Patient shown immediately before and after a rhinoplasty

Immediately after a Revision Rhinoplasty

Key maneuvers:

  • Asymmetric dorsal hump reduction
  • Asymmetric midvault debulking
  • Asymmetric supratip debulking
  • Lower lateral cartilage revision
  • Soft tissue grafting
Patient shown immediately before and after a revision rhinoplasty

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
Patient shown immediately before and after a male rhinoplasty