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PREOPERATIVE DIAGNOSIS: Nasal obstruction secondary to Internal/external valve collapse and turbinate hypertrophy.
PROCEDURE: Tertiary Revision External Rhinoplasty, Septoplasty and bilateral turbinoplasty.
- Repair of nasal vestibular stenosis secondary to bilateral external valve collapse secondary to alar rim weakness with placement of bilateral rim grafts.
- Repair of nasal vestibular stenosis secondary to internal valve collapse secondary to right narrow/subluxed upper lateral cartilage with placement of right spreader grafts.
- Revision Complex septal reconstruction, submucous resection with major partial vomerectomy for correction of deviated nasal septum.
- Submucous resection and partial resection of right inferior turbinate.
- Submucous resection and partial resection of left inferior turbinate.
Platelet gel; Tertiary revision rhinoplasty
FINDINGS: Right alar vertical onlay graft removed causing fullness in right alar region; asymmetric curved medial crura (right longer than left) with right higher dome; over-projected, over-rotated infratip lobule; narrow rims right greater than loft; soft tissue deficit right greater than left; narrow right middle vault and depressed right lateral nasal wall; spur and caudal deviation of septum to left; narrow lateral crura with scar tissue build up.
COMMENT: Patient still swollen in photos. 3 month post-op photos reveal softer nasal appearance. Breathing has improved. Patient still healing and will continue to improve.
