Announcement
CASE OF THE MONTH
Seattle rhinoplasty surgeon Sam Naficy, MD performed this rhinoplasty procedure to help refine the tip and reduce the hump on the bridge of the nose. The patient also had a deviated septum which was corrected at the same time as the rhinoplasty.
See the before and after results here
Announcement
ARE YOU INTERESTED IN SEEING WHAT YOUR NOSE COULD LOOK LIKE AFTER A RHINOPLASTY?
Seattle rhinoplasty surgeon Dr. Sam Naficy can perform computer simulations to help you visualize the potential outcome of rhinoplasty. Check out this link for more details about rhinoplasty simulations. Also, if you are wondering whether you would be a good candidate for rhinoplasty, you may submit your photographs to us for a virtual consultation.
Announcement
DR. SAM NAFICY VOTED TOP SEATTLE PLASTIC SURGEON FOR THE FACE
Voted by his medical peers for his expertise in rhinoplasty and facial cosmetic surgery Seattle Magazine
Deviated Septum
The septum is a partition that divides the nose into two compartments. It is made
up of both bone (vomer and perpendicular plate of ethmoid) and cartilage
(quadrangular cartilage), which are covered on both sides with the mucous
membrane of the nose.
Schematic of nasal septum. Note the C-shaped deviation of the septum
on the front view.
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Typically, only the skin covering the septum is visible (known as the columella)
and the rest of the septum is deeper inside the nose. When the septum is not
straight (deviated or crooked septum), there is usually obstruction of the nasal
passages that can involve one or both sides. In severe cases of septal deviation,
the leading edge of a deviated septum may be visible thorough one side of the
nostril and there is typically visible asymmetry of the nose and the nostrils.
Deviation of septum (blue line) and asymmetry of nasal tip (red line)
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There are different types of septal deviation, based on the configuration of the
deviated cartilages. Each type of deviation requires a unique approach and
unique set of techniques to correct the abnormality.

Straight septum
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Angular deviation of septum
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S-shaped deviation of septum
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C-shaped deviation of septum
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Deviation of the septum may be mild, moderate, or quite severe. Correction of a
deviated septum requires reshaping of the abnormally bent cartilage into a more
straight configuration.
Correction of deviated septum and external nasal deviation by Sam
Naficy, MD
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Primary Rhinoplasty photo gallery
This photo gallery contains representative before and after images of primary rhinoplasty procedures performed by Dr. Sam Naficy. Click on any of the thumbnails to enter the slide show. All rhinoplasty and other facial plastic surgery procedures were performed by Dr. Sam Naficy. The text accompanying the photos describes the details of the procedures performed.
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Click on thumbnail to begin viewing slideshow.
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Revision Rhinoplasty photo gallery
Here you will find a sampling of representative before and after images of revision rhinoplasty and complex secondary rhinoplasty procedures performed by Dr. Sam Naficy. Click on any of the thumbnails to enter the slide show. All revision rhinoplasty and other facial plastic surgery were performed by Dr. Sam Naficy. The text accompanying the photos describes the details of the procedures performed.
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Click on thumbnail to begin viewing slideshow.
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