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PREOPERATIVE DIAGNOSIS:
- Nasal obstruction secondary to external/internal valve collapse, deviat ed septum, hypertrophic turbinates
PROCEDURE:
- Repair of nasal vestibular stenosis with reconstruction of bilateral external valve collapse with placement of bilateral alar batten grafts.
- Repair of nasal vestibular stenosis with reconstruction of tip support with placement of columellar strut.
- Repair of nasal vestibular stenosis with reconstruction of bilateral internal valve collapse with placement of bilateral spreader graft.
- Septoplasty.
- Bilateral Turbinoplasty.
Open rhinoplasty with platelet gel application.FINDINGS: Native 12 mm lower lateral crura (LLC) that were concave and weak laterally causing external valve collapse with right greater than left, Weak rims. Narrow middle vault with left greater than right, 3+ spur on left.COMMENT: This is a patient who was having breathing issues and wanted a slight hump reduction. 5 years photos reveal an improved and natural looking nose.
Beverly Hills Rhinoplasty
