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PREOPERATIVE DIAGNOSIS: Septal deviation, turbinate hypertrophy, nasal obstruction, external nasal deformityPROCEDURE: Ethnic septorhinoplasty, bilateral turbinoplasty, left ear graft conchal harvest (see photo), right deep temporalis fascia harvest.
FINDINGS: deviated nasal septum, 3+ thick skin/ nasal SMAS, weak, deprojected, flat lower lateral cartilages, deep radix and low dosum. Nose was poorly projected/over-rotated. Following surgery, increased projection, counter-rotated with nasolabial angle opened.
COMMENT: Her 22 month post-op photos show an improved nose. She had alar base reduction which has healed very nicely, with minimally visible scars. The back of the ear photo reveals the closed incision following ear cartilage harvest.