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PREOPERATIVE DIAGNOSIS:
- External Nasal Deformity.
- Nasal obstruction caused by deviated septum and hypertrophic turbinates.
- Bilateral compensatory hypertrophic turbinates.
- Septal deviation; left deviation and left bony spur.
PROCEDURE:
- Open rhinoplasty
- 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 application.
FINDINGS:
- Left deviation and spur.
- Wide middle vault; asymmetric nostrils with the right nostril concave as compared to the left; convex left nasal bone; over-rotated tip.
COMMENT:
This patient desired a softer profile. In addition, the patient was having difficulty breathing due to a deviated septum. Post-operative photos reveal an improved nasal appearance. Better breathing has been reported as well. Patient continues to heal.