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Preoperative Diagnosis: Nasal obstruction secondary to external/internal valve collapse, deviated septum, hypertrophic turbinates.Submental & jowl lipodystrophy, platysmal banding, and microgenia.
Procedure:
Findings: Left > right external valve weakness, rim weakness, 3+ middle vault weakness/narrowing; septum with C-shaped deformity with anterior septum convex to right; 3+ spur at base of left airway on septum; septal-crural ligament lysed to deproject; twisted nasal bones; vertically-oriented LLC (lower lateral cartilages) with left LLC cephalad to Right LLC; left wide dome; asymmetric dome, left LLC concave. Boxy, splayed and bifid tip.
Comment: This patient desired an improvement in his nose and a more masculine chin. Post surgery photos reveal an improved, stronger profile.
