Revision Rhinoplasty #24

Our beautiful 29 year old patient is seen photographed 1 year following functional and cosmetic revision rhinoplasty surgery. When she came to our office, she was bothered by her nasal appearance and breathing after previous rhinoplasty performed elsewhere. She was mostly bothered by a persistent bulbous and droopy nasal tip appearance, and by a persistent dorsal hump. Her airway was compromised by narrowed internal nasal valves on both sides and a persistently deviated nasal septum. Her revision rhinoplasty consisted of nasal narrowing, hump removal and tip rotation. We used spreader grafts to repair her internal nasal valves, and we performed septoplasty - these maneuvers were to improve her nasal airway. An extended shield graft was used to maximize tip support and tip definition with her thick skin type.