Patient had undergone a previous rhinoplasty and presented with complaints of nasal tip deformities and inability to breathe through the nose. She was noted to have significant nasal valve collapse and nasal deformities. Base view before the revision rhinoplasty shows significant nostril asymmetry and nasal valve collapse. She was noted to have cephalically oriented lateral crural cartilages with over-resection of the lateral cartilages creating tip irregularities and nostril asymmetry. Revision rhinoplasty techniques included the use of septal cartilage for the placement of bilateral spreader grafts for middle vault support. The tip deformities and breathing problems were corrected with the caudal septal extension graft, lateral crural strut grafts with lateral crural re-positioning, and tip onlay grafts. Post-operatively, the tip deformities were corrected, nasal valve obstruction corrected, and nostril asymmetry corrected while the profile aesthetics were preserved.
- 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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