Rhinoplasty

PATIENT 31 - Rhinoplasty

33 yo woman who was unhappy with the large size of her nose, the dorsal hump, and the widened tip. Examination demonstrated a mild dorsal hump, a boxy tip with a cleft between the lower lateral cartilages, septal deviation and leftward displacement of the caudal septum. Six week post-operative photographs show results of an open rhinoplasty with dorsal hump reduction, submucosal septal resection, replacement of the caudal septum into the midline, creation of spreader grafts, lateral osteotomies, cephalic trim of the lower lateral cartilages, placement of a tip rotation control graft, and use of interdomal and lateral crural spanning sutures.

PATIENT 32 - Rhinoplasty

19 yo woman who was unhappy with the dorsal hump on her nose. She suffers from allergies and frequently has airway obstruction and difficulty breathing through her nose. Examination demonstrated a moderate dorsal hump, a widened tip, and leftward septal deviation at the level of the internal nasal valve. Three month post-operative photographs show results of an open rhinoplasty with dorsal hump reduction, submucosal septal resection, placement of spreader grafts, cephalic resection of the lower lateral cartilages, a small resection of the caudal septum, placement of transdomal and interdomal sutures, use of lateral crural mattress sutures, and lateral osteotomies. Post-operative breathing is improved. There is still some swelling in the tip, which will become more refined over the next several months.