Female patient who had undergone a previous rhinoplasty and was left with the resultant deformities. Reductive rhinoplasty techniques resulted in an inverted-V middle vault deformity, pointy nasal tip, low bridge and an over-projected nasal tip. Revision rhinoplasty techniques to address her concerns included bilateral spreader grafts, dorsal onlay graft with temporalis fascia, tip de-projection onto a caudal extension graft, and lateral crural repositioning. Post-operatively, she demonstrates improved bridge height, softening of the nasal tip, correction of the middle vault, and de-projection of the tip.




















































