Before and after revision rhinoplasty for a 60 year old patient. Patient underwent a primary rhinoplasty 20 years prior. Subsequently, developed a crooked nose deformity with nasal obstruction. She could not breath out of both nostrils but the right side was the worse side. She underwent a revision rhinoplasty which techniques included the use of ear cartilage, unilateral osteotomy to out-fracture the right nasal bone, double spreader grafts on the right side and a batten graft on the right side to improve the crooked appearance to the upper and middle third of the nose. Techniques to the tip included caudal septal extension graft with bilateral, lateral crural strut grafts for lower lateral cartilage repositioning. Profile views were essentially unchanged with improvement in the crookedness of the nose and nostril asymmetry.
- Anthony Bared, M.D., F.A.C.S.
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- United States, FL, Miami, 6280 Sunset Dr #506, 33143
- (305) 666-1774
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