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Preoperative Diagnosis: Nasal obstruction secondary to nasal inlet obstruction (bony deviation),Internal valve collapse, turbinate hypertrophy and deviated septum.Patient also desired improvement of the appearance of her nose.
Procedure: External septorhinoplasty, turbinoplasty and platelet gel application with placement of lateral crural strut grafts, columellar strut and spreader grafts (double on the right).
Comment: Her 2 month photos show an improved, but healing nose.