Revision Rhinoplasty Before and after photos in Miami, FL, Patient 863

Female who had undergone two previous rhinoplasties elsewhere. Presented with a droopy tip, asymmetric tip, nostril asymmetry, and difficulty breathing from her left side. On examination, she was noted to have pinching of her tip. This is noted mostly prevalently on her base view where you see narrowing of her nasal valve area on the left side. During her revision rhinoplasty she was noted to have crushed ear cartilage placed on her tip giving her lack of adequate tip support. She was also noted to have a 90 degree deviation of her existing septal cartilage with most of the cartilage absent. Revision entailed use of rib cartilage to reconstruct her septum in the midline and support her tip. She was noted to have very thin nasal skin so rib perichondrium was used to camouflage the tip reconstruction. She is seen here with long term follow up results 15 months after surgery. Tip symmetry is noted and nostril symmetry is improved on the base view. On profile view, she has improved tip support and projection. She breathes well from both sides of her nose.