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PREOPERATIVE DIAGNOSIS:
- Nasal obstruction secondary to deviated septum, hypertrophic turbinates, and external/internal valve collapse, s/p rhinoplasty
- Deviated septum
- Hypertrophic turbinates
- Submental lipodystrophy
PROCEDURE:
- Septal reconstruction for correction of deviated nasal septum and harvest of septal graft
- Repair of nasal vestibular stenosis with reconstruction of external valve collapse with placement of bilateral alar rim grafts
- Repair of nasal vestibular stenosis with reconstruction of tip support with placement of columellar strut
- Repair of nasal vestibular stenosis with reconstruction of internal valve collapse with placement of bilateral spreader grafts
- Bilateral Turbinoplasty
- Repair of nasal vestibular stenosis with reconstruction of right external valve collapse with placement of right alar batten graft
- Repair of nasal inlet obstruction secondary to open roof deformity with bilateral osteotomies
- Secondary rhinoplasty with dorsal augmentation
- Submental liposuction
FINDINGS:
Lower lateral cartilages (LLC) encased in scar/fibrous tissue, narrow right greater than left middle vault, poor tip support, right external valve collapse, over-resected mid-dorsum, septum deviated to left also at caudal aspect, open roof deformity, Tip: right dome higher than left, depression right mid lateral nasal wall and cephalad left lateral nasal wall, soft tissue pollybeak deformity.
COMMENT:
This patient wished to correct a deviated septum, improve nasal appearance, and reduce fat under the chin. 7-month post-operative photos reveal an overall improved profile. Patient has reported better breathing as well.
