A young man consulted me with pronounced functional and aesthetic concerns. His main complaint was a virtually complete absence of clear nasal breathing and severe nasal deviation. In addition, after analyzing his facial proportions, we decided to perform a combined (simultaneous) procedure to correct the shape of his auricles at the same time. This allowed us to relieve the patient of long-standing discomfort and completely harmonize his facial features under a single anesthesia.
Baseline Anatomical Features (Before)
During the patient’s facial examination, I identified two main areas of work:
- Nose (Rhinoseptoplasty): There was a severe post-traumatic or congenital deviation of the entire nasal axis (marked deviation to one side). The nasal dorsum was shifted, and the tip appeared asymmetrical and flattened. Internal examination confirmed a complex septal deviation that almost completely blocked the airflow on one side.
- Auricles (Otoplasty): Pronounced protruding ears (prominauris). The insufficiently formed cartilage relief required delicate surgical sculpting to give the ears a natural, anatomically correct position.
Course of the Simultaneous Surgery
Working with male faces requires surgical precision: it is essential to preserve masculine, strong features while avoiding any doll-like or overly delicate appearance in the results.
In the first stage, I performed reconstructive septoplasty—carefully restoring the correct architecture of the septum and opening the internal airways. This was followed by a complex stage of rhinoplasty: I mobilized the osteocartilaginous structures, aligned the nasal dorsum strictly along the central axis of the face, and centered the tip, making it more refined and neat.
In the second stage, through inconspicuous incisions on the posterior surface of the auricles, I performed otoplasty. I sculpted the proper curvature of the cartilage and secured the ears in a new, closer-fitting position, carefully verifying symmetry on both sides.
Result After 2 Weeks (After)
The photographs capture a very early result—only 2 weeks have passed since the surgical intervention. Dense postoperative swelling is still present on the face (especially around the dorsum and tip of the nose), which will gradually subside over several months. Nevertheless, the key changes are obvious:
- The axis of the nose is fully aligned, the previous curvature has been eliminated, and the nose is now straight and symmetrical.
- Protruding ears are completely corrected: the auricles now lie neatly against the head and look entirely natural.
- The frontal view of the face looks significantly more harmonious, balanced, and attractive.
The most important result for me as a surgeon is that even at this early stage, the patient breathes completely freely and fully, while his new masculine profile and neat ears have completely freed him from his former insecurities.
