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PREOPERATIVE DIAGNOSIS:
- Nasal obstruction secondary to external/internal valve collapse, deviated septum following rhinoplasty, hypertrophic turbinates.
PROCEDURE:
- Repair of nasal vestibular stenosis with reconstruction of external valve collapse with placement of bilateral rim grafts.
- Repair of nasal vestibular stenosis with reconstruction of tip support/twisted columella with placement of columellar strut.
- Repair of nasal vestibular stenosis with reconstruction of right internal valve collapse with placement of right double spreader grafts.
- Right deep temporalis fascia harvest secondary to thin skin/depressed right lateral nasal wall.
- Septoplasty.
- Bilateral Turbinoplasty.
FINDINGS: Thin nasal skin, Weak rims (right greater than left). Narrow/collapsed right middle vault with depression of right lateral nasal wall and middle vault, significant 3+ caudal deviation to left with anterior dislocation to right, over-resected dorsum at rhinion, and twisted columella.
COMMENT: This patient wished to repair a deviated septum and soften nasal appearance. 7-month post operative photos reveal an improved nose.
Beverly Hills Rhinoplasty
