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PROCEDURE: Endonasal Rhinoplasty
- Repair of nasal vestibular stenosis secondary to right external valve collapse secondary to right alar rim weakness with placement of right alar rim graft.
- Repair of bilateral nasal vestibular stenosis secondary to bilateral internal valve collapse secondary to narrow/subluxed upper lateral cartilages with placement of bilateral spreader grafts.
- 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.
FINDINGS:Weak right alar rim causing collapse, right deviated septum with caudal deviation, bilateral narrow middle vault.
COMMENT: Post-op photos reveal softer nasal appearance. Patient has experienced improvement in breathing and is still healing.