Revision Rhinoplasty Gallery Patient 308025

Female patient who had undergone a previous rhinoplasty 5 years prior. Complained of an upturned tip and excessive nostril show. Intra-operatively, she was found to have a columellar start placed between her tip cartilages which had not provided adequate tip support. Ear cartilage was used to place a caudal septal extension graft as a previous septoplasty had been performed and insufficient cartilage was present. A caudal septal extension graft was used to counter-rotate the tip and to help decrease nostril show from the frontal view.