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PREOPERATIVE DIAGNOSIS: Nasal obstruction secondary to deviated septum & hypertrophic turbinates.
Bilateral compensatory hypertrophic turbinates.
External nasal deformity.
Septal Deviation.
PROCEDURE:
- Open rhinoplasty with bilateral concha cymba composite 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: Poor tip projection, hanging, ptotic tip, retracted ala R>L, hypotrophic, thin abnormal right lower lateral cartilage (LLC), ptotic tip, septal deviation to left, and thick skin.
COMMENT: This patient wished to improve her breathing problems and improve the appearance of her nose. Post-operative photos reveal a softer profile. Patient has reported improvements in breathing as well.
