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Preoperative Diagnosis: Nasal obstruction secondary to external/internal valve collapse, deviated septum following rhinoplasty X 2, hypertrophic turbinates
Procedure: Tertiary Revision Rhinoplasty with placement of rim and alar batten grafts, columellar strut, spreader grafts, osteotomies, revision septoplasty, deep temporalis fascia harvest and turbinoplasty with platelet gel application