Toriumi Facial Plastics

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Toriumi Facial Plastics Dr. Toriumi, M.D. is a board certified facial plastic and reconstructive surgeon and world renowned Dean Toriumi, M.D.

is a uniquely skilled, board certified facial plastic surgeon, highly sought-after and known worldwide for his expertise in rhinoplasty surgery. Dr. Toriumi and Toriumi Facial Plastics offer world-class care for a variety of facial plastic surgery procedures. You will experience the highest quality care provided by a surgeon and team with unmatched credentials and success, mastered over more than 30 years of attentive, patient-focused care. Learn more about Dr. Toriumi and our services. Call to arrange a free consultation with Dr. Toriumi. Your health – and peace of mind – will be in very good hands. Phone: 312-741-3202
Fax: 312-741-3123
Website: www.toriumifacialplastics.com
Email: [email protected]

This patient presented for primary rhinoplasty and wanted minimal changes with correction of her profile by reducing her...
10/07/2026

This patient presented for primary rhinoplasty and wanted minimal changes with correction of her profile by reducing her dorsal hump. She liked the rest of her nose. She was a perfect candidate for a closed polygon tip surgery as described by Doç. Dr. Barış Çakır . I used extended marginal incisions to deliver her tip cartilages and slightly refined her tip and used a Tetris (Neves) to reduce her dorsal hump with no dorsal skin elevation. She is doing well just short of a year postoperative.

In the past I would open this nose and do a lot of unnecessary work, introducing potential problems. Using the closed approach with no dorsal skin elevation her results were seen early postop, and the outcome is stable over time. She has excellent nasal function as well.

At the Marina Medical “The Course” held in Hollywood, Florida December 11 to 13, 2026, we have an outstanding international faculty including Dr. Baris Cakir who introduced the polygon tip surgery. He will teach his technique with a prosection, lectures and one on one teaching at your own stations. You will have three fresh heads over three days, learning high strip, intermediate strip and low strip with all of the bony work. Dr. Aaron Kosins and I have put together a great program. ☀️ Please join us in sunny Florida in December. You will learn preservation rhinoplasty and then practice it on your cadaver specimens and then perform it in your own operating rooms when you return home. See you there. Marina Medical

I was fortunate to learn from Baris Cakir, Aaron Kosins, Yves Saban, Valerio Finocchi, Olivier Gerbault and Abdulkadir Goksel, as well as Milos Kovacevic and others. Many of these friends will join the faculty in Florida in December.

📚 All of these original techniques are demonstrated in my three-volume textbook, “Structure Rhinoplasty: Lessons Learned in Thirty Years,” and in the new two-volume textbook, “Structure Preservation Rhinoplasty,” both of which are available on the Marina Medical website.
📍 The important Structural Preservation Rhinoplasty Meeting will be held in Istanbul, Turkey, November 19 to 21, 2026 Structure and Preservation Rhinoplasty Conference

This patient presented for rhinoplasty twenty years ago. I performed her rhinoplasty using spreader grafts, caudal septa...
10/02/2026

This patient presented for rhinoplasty twenty years ago. I performed her rhinoplasty using spreader grafts, caudal septal extension graft, lateral crural strut grafts with her own rib cartilage. She is now twenty years postop and doing well both aesthetically and functionally. She has some imperfections, but her nose has held up very well for twenty years. 👃🏼

I follow my patients’ long term to fully assess my techniques and how they hold up over time. Some techniques are less reliable over the long term, and I no longer use them. Many of these changes are chronicled in my three-volume textbook, “Lessons Learned in Thirty Years.”

When the casual observer is looking for imperfections in the cases that are posted, it is important to realize that revision rhinoplasty is very difficult and perfection is not attainable. It is exponentially more difficult to obtain a good twenty-year outcome as scar contracture and healing can deform a good early result. This patient had a short over rotated tip with deviation that was corrected.

I have been performing rhinoplasty for over 37 years and believe my results are the best they have ever been. This is due to constantly improving my techniques as I recently presented at the AAFPRS Annual Meeting of the American Academy of Facial Plastic and Reconstructive Surgery in Las Vegas, Nevada. My goal is to teach my techniques to help improve patient outcomes. 👏🏼

The American Academy of Facial Plastic and Reconstructive Surgery AAFPRS just held its most well attended Annual Fall me...
10/01/2026

The American Academy of Facial Plastic and Reconstructive Surgery AAFPRS just held its most well attended Annual Fall meeting in Las Vegas, Nevada. 🎰
Congratulations to the organizers and AAFPRS personnel and leadership. Ada Phillips PCMA was a key to the success of the meeting. I was happy to make a contribution with three keynote presentations. I was also happy to moderate a special Masters Video Panel that featured videos by Op. Dr. Ahmet ALP , Cristian Cordero Carvallo , Prof Dr Miguel Ferreira | Rinoplastia , Dr. Abdülkadir Göksel, Dr Jose Carlos Neves and Dr. Renato Sousa
All of the panelists did a great job with their presentations, and we thank them for taking time away from their families and practices to participate in the meeting.
Organization of the rhinoplasty sessions by Dr. Jorge Espinosa | Cirujano Plástico Facial y Otorrino brought all of these international rhinoplasty experts to the meeting. The overall assessment of the meeting was that it was one of the best ever. Congratulations to the AAFPRS. 👏🏼

(⚠️11-14) This patient underwent one prior rhinoplasty and presented with an overprojected tip and asymmetries with devi...
09/25/2026

(⚠️11-14) This patient underwent one prior rhinoplasty and presented with an overprojected tip and asymmetries with deviation and deformity. Her repair required using her own rib cartilage covered with native perichondrium. I placed a caudal septal extension graft with lateral crural replacement grafts and lateral crural strut grafts. I also used lateral crural extension grafts. She is twenty months postoperative and doing well with good nasal function and improved aesthetics. 👏🏼

Lateral crural extension grafts are thin cartilage grafts that extend off of the existing lateral crural strut grafts and allow correction of alar retraction. These grafts are also critical to improve nostril symmetry. I use them frequently in revision cases with alar retraction.

📚 All of these original techniques are demonstrated in my three-volume textbook, “Structure Rhinoplasty: Lessons Learned in Thirty Years,” and in the new two-volume textbook, “Structure Preservation Rhinoplasty,” both of which are available on the Marina Medical website.
📕 The new “Structural Preservation Rhinoplasty” textbook is available on the Quality Medical Publishing website.
📍 I also encourage you to join us in sunny South Florida for the fourth annual Marina Medical Preservation Rhinoplasty “The Course” that will be held December 11 to 13, 2026.
🌎 The important Structural Structure and Preservation Rhinoplasty Conference Meeting will be held in Istanbul, Turkey, November 19 to 21, 2026

✨ Please join us in welcoming our newest Facial Plastics Fellow, Dr. Nicholas Curran! ✨After completing his residency at...
09/17/2026

✨ Please join us in welcoming our newest Facial Plastics Fellow, Dr. Nicholas Curran! ✨

After completing his residency at the University of Cincinnati, Dr. Curran is excited to return home to Chicago for this next chapter of his training.
We’re thrilled to have him join Drs. Toriumi, Revenaugh, Smith, Eggerstedt and Nesemeier Rush University for an exciting year of advanced facial plastic and reconstructive surgery training.
Welcome to the team, Dr. Nicholas Curran | Facial Plastic Surgeon ! We’re looking forward to an incredible year of learning, collaboration, and growth. 🏙️👃✨

Otolaryngology HeadAndNeckSurgery WelcomeDrCurran

This 30-year-old patient presented after undergoing three prior rhinoplasties. Her nose was very wide and poorly defined...
09/11/2026

This 30-year-old patient presented after undergoing three prior rhinoplasties. Her nose was very wide and poorly defined with asymmetries. Her surgery involved using her own rib cartilage and caudal septal extension graft with lateral crural replacement grafts and lateral crural strut grafts.
She is now five years postoperative and doing well both aesthetically and functionally. 👏🏼

I show this case to emphasize the importance of showing longer term follow up cases. Rhinoplasty is very difficult, and early outcomes do not necessarily reflect the long-term outcome. Many patients undergo a surgery and do well for a year but then deteriorate over time, ultimately requiring another revision surgery. This cycle can continue over many years, creating a great toll on the patient and their families. I design my surgeries to provide a long-term, lifelong, aesthetic, and functionally sound outcome. This often requires making compromises early postop and possibly even over the first year. If the goal is long term outcomes, the techniques and methods change. What is the “warranty” on a rhinoplasty. I believe it should be a lifetime warranty. 💯
Attaining long term outcomes requires using the patient’s own rib cartilage and reliable structural grafting techniques.

📕 All of these original techniques are demonstrated in my three-volume “Structure Rhinoplasty: Lessons Learned in Thirty Years” and the new two volume “Structural Preservation Rhinoplasty” textbook. The Structural Preservation Rhinoplasty textbook can be purchased on the Quality Medical Publishing website.
📚 The Structure Rhinoplasty: Lessons Learned in Thirty Years series can be ordered at the Marina Medical website.
📍 Time is running out to register for the Marina Medical Preservation Rhinoplasty “The Course” held December 11 to 13, 2026 in South Florida. This course features three fresh cadaver heads over three days to learn high strip, intermediate strip and low strip from the Masters of Preservation rhinoplasty.
🌍 The Structural Structure and Preservation Rhinoplasty Conference meeting in Istanbul, Turkey is November 19 to 21, 2026.

(⚠️ 9-12) This patient presented after undergoing two prior rhinoplasties and complained of nasal obstruction. She noted...
09/04/2026

(⚠️ 9-12) This patient presented after undergoing two prior rhinoplasties and complained of nasal obstruction. She noted collapse of her nose when she would breathe in. She also had some asymmetries and deformities of her nose. She has very thin skin and a deviated septum as well. Her reconstruction required using her own rib cartilage and performing spreader grafts and a caudal septal extension graft with lateral crural replacement grafts and lateral crural strut grafts. Because of her nasal obstruction, I used larger curved lateral crural strut grafts to ensure she has adequate functional correction. She is just short of three years postoperative and doing well aesthetically and functionally. 👃🏼

The primary function of the nose is for nasal breathing. Unfortunately, many patients who undergo rhinoplasty suffer problems with nasal obstruction after surgery. The incidence is alarmingly high. I believe surgeons may be focusing too much on the aesthetic aspects of the surgery and not paying enough attention to the nasal function. I believe one of the most difficult tasks in rhinoplasty is to provide a good cosmetic improvement in nasal shape but also improve or at least not compromise nasal function. It is even more difficult to provide “long term” stable nasal breathing. The goal of making the nose smaller will typically make the nasal airway smaller as well. Using structural rhinoplasty techniques and lateral crural strut grafts, I believe one can make the nose more aesthetically pleasing and also improve nasal breathing. This may require making the nose wider along the supra alar groove region of the nose where airflow can be compromised if not well supported. The patient presented here had weakness and collapse in the area of the supra alar groove. The lateral crural strut grafts I placed have created a stable and long-term improvement in her nasal breathing. I do not compromise function for nasal aesthetics, and I closely monitor patient’s outcomes using NOSE and SCNOS questionnaires (slide 7). This allows me to see how my patients’ nasal function is doing over the long term. 

CONT’D IN COMMENTS ⬇️⬇️⬇️

(⚠️ 12-16) This 21-year-old female patient presented for revision rhinoplasty after undergoing multiple prior rhinoplast...
08/27/2026

(⚠️ 12-16) This 21-year-old female patient presented for revision rhinoplasty after undergoing multiple prior rhinoplasties for her unilateral cleft nose deformity. She wanted a more petite shorter nose with more definition. She had thicker skin and a lot of scarring. She was treated preoperatively and postoperatively with Dupilumab. Her reconstruction required two surgeries to get her to a point where we were satisfied with the outcome. Her reconstruction involved using her 8th rib with attached native perichondrium for a caudal septal replacement graft. She was treated intraoperatively with intradermal Kenalog injections and I also used deadspace sutures to control the thicker skin (Zholtikov). She has done very well postoperatively after the second surgery and recently got married.

Managing the unilateral cleft nasal deformity can be very complex due to the asymmetries of the nasal base and alae. Many of these patients have also undergone multiple prior surgeries on their nose which complicates the surgery. Using the patient’s own rib cartilage with the attached native perichondrium is important to long term success. Using the “no carve” technique minimizes the risk of cartilage warping and also improves vascularization of the cartilage grafts. In this case, I used her 8th rib with attached native perichondrium as her caudal septal replacement graft. Many of these complex deformities will require more than one surgery to get to the desired outcome.

Managing thick skin can be difficult and requires structural grafting and preoperative and postoperative skin care. The Dupilumab helps to control inflammation which is linked to postoperative swelling and scarring. Use of Dupilumab likely helped this patient with her postoperative recovery. I work with a dermatologist Dr. Rania Agha, MD FAAD at Summit Dermatology who administers the Dupilumab. Her second surgery was less than three months before her wedding and her nose looked great for her big event. These experiences are very gratifying for me as well and I feel blessed to be able to help patients in this way. 🙏🏼
All of these original techniques are demonstrated in my three-volume textbook, "Structure Rhinoplasty: Lessons Learned in Thirty Years," and in the new two-volume textbook, "Structure Preservation Rhinoplasty," both of which are available on the Marina Medical website. The artwork in this post is from the QMP book. The new "Structural Preservation Rhinoplasty" textbook is available on the QMP website. I also encourage you to join us in sunny South Florida for the fourth annual Marina Medical Preservation Rhinoplasty "The Course" that will be held December 11 to 13, 2026. The important Structural Preservation Rhinoplasty Meeting will be held in Istanbul, Turkey, November 19 to 21, 2026

(⚠️8-14) This 54-year-old patient presented after undergoing two prior rhinoplasties. She has very thick skin and had an...
08/20/2026

(⚠️8-14) This 54-year-old patient presented after undergoing two prior rhinoplasties. She has very thick skin and had an amorphous droopy tip with nasal obstruction.
She was treated preoperatively with Dupilumab (Dupixant) to manage her thick skin. Dupilumab blocks inflammation pathways and can dramatically improve postoperative healing after rhinoplasty. Her reconstruction required using her own rib cartilage (7th and 9th ribs). I placed a caudal septal replacement graft with native perichondrium (no carve technique) using her 9th rib and fixed it into a notch in the nasal spline. I placed a single midline tall spreader graft and fixed it to the caudal septal replacement graft. I then advanced the medial crura anteriorly to open the nasolabial angle and shorten her upper lip. I also placed lateral crural strut grafts with lateral crural replacement grafts and lateral crural extension grafts. I used platelet rich fibrin with diced fat for dorsal camouflage (Kovacevic) and deadspace sutures to close the deadspace (Zholtikov). At the end of the case, I injected triamcinolone acetonide (10 mg/ml) intradermally into the thick tip skin. Postoperatively she did postop hyperbaric oxygen treatments and an anti-inflammatory diet Chef Beau's Klean Kitchen for one month postop.
She is one-year postoperative and doing well with excellent nasal breathing and improved tip and nasal contour. Treatment with the Dupilumab pre and postoperatively contributed to her less inflammatory recovery after surgery. I treat these patients in conjunction with Rania Agha Dr. Rania Agha, MD FAAD who is a dermatologist. With thick skin it is imperative to provide good structure that can stretch the thicker skin envelope to create shape. Patients with thick skin cannot have small noses unless their skin envelope is small to start with.
Use of the 9th rib with the “no carve” technique allows excellent integration of the graft with low likelihood of resorption or warping. I will frequently use the 8th and 9th ribs for cartilage grafting using the “no carve” technique.
Our outcomes with rhinoplasty in thick skinned patients are much improved with the multimodality approach with Dupilumab, structural grafting, deadspace sutures, intraoperative triamcinolone injections, postoperative HBO and the anti-inflammatory diet. Use of Dupilumab for rhinoplasty in patients with thick skin has great potential and we will publish our data on our experience very soon.

All of these original techniques are demonstrated in my three-volume “Structure Rhinoplasty: Lessons Learned in Thirty Years” and the new two volume “Structural Preservation Rhinoplasty” textbook. The Structural Preservation Rhinoplasty textbook can be purchased on the QMP website. The Structure Rhinoplasty: Lessons Learned in Thirty Years series can be ordered at the Marina Medical Website. Time is running out to register for the Marina Medical Preservation Rhinoplasty “The Course” held December 11 to 13, 2026 in South Florida. This course features three fresh cadaver heads over three days to learn high strip, intermediate strip and low strip from the Masters of Preservation rhinoplasty. The Structural Preservation Rhinoplasty meeting in Istanbul, Turkey is November 19 to 21, 2026.

This 51-year-old patient presented after undergoing four prior rhinoplasties. She had an over reduced nasal dorsum with ...
08/15/2026

This 51-year-old patient presented after undergoing four prior rhinoplasties. She had an over reduced nasal dorsum with multiple dorsal irregularities due to prior diced cartilage and fascia graft. She had an underprojected nasal tip with alar retraction and nasal obstruction. Her reconstruction used her own rib cartilage and a single midline tall spreader graft with caudal septal extension graft and lateral crural replacement grafts with lateral crural strut grafts.
She had extensive scarring in her left nasal vestibule and required placement of a lateral crural extension graft and large composite graft.
She is five years postop and doing well with good dorsal alignment, projected tip and symmetrical alar margins. Her nasal function is very good as well. 👏🏼

Correction of alar retraction over the long term is one of the top three most difficult secondary rhinoplasty deformities to correct. Most surgeons use alar rim grafts. I do not believe alar rim grafts are as effective as lateral crural replacement grafts with lateral crural strut grafts and lateral crural extension grafts. Composite grafting is frequently needed as well. This takes much more time and is much more complex, but my long term follow up shows excellent longevity to the correction. My preference is to avoid placing grafts in the premarginal vestibular skin as this area of the tip does not normally house cartilage and is soft and pliable. By leaving this area undissected, there is a “buffer zone” caudal to all grafts that allows for better alignment of the alar margins and less thickening of the alar lobule.

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60 E Delaware Place Ste 1425
Chicago, IL
60611

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Wednesday 9am - 5pm
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