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, can often show patients what their nose will look like when all of their eventual swelling goes down.

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, 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 & Septoplasty

This patient is shown immediately after a rhinoseptoplasty to improve her breathing, bring down her profile, and lift 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.

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!

Patient shown immediately before and after a male rhinoplasty

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 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