Revision Rhinoplasty #30

Our beautiful patient is seen one year after tertiary revision rhinoplasty surgery. This means she had two previous rhinoplasty surgeries before we operated on her. She presented with both functional and cosmetic concerns. She was unable to breathe through her nose due to external nasal valve collapse, which was associated with a deviated nasal septum and enlarged turbinates on both sides. From a cosmetic standpoint, she disliked how much her nose protruded on profile (overprojected), as well as the leftward tilt of her tip, which resulted in a crooked, operated appearance. In her postoperative photos, we can see a straight nasal profile from the front view and a deprojected nasal tip in profile, giving her a less distracting, more feminine appearance. Her repair involved bilateral lateral crural strut grafts to maintain airway patency and restore nasal tip symmetry. We also repaired her hanging columella, deprojected her tip, and removed a small profile bump. We are so grateful that she has allowed us to share her photos!