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Female patient with a chronic open wound with an exposed medpore implant performed elsewhere. Patient did have a rhinoplasty previous to placement of the implant.
Procedure: Tertiary rhinoplasty with removal of implant and harvest of bilateral ear cartilage, left deep temporalis fascia harvest and closure of wound.
Findings: Wide bony nasal dorsum, Only nasal tip cartilage remaining is partial medial crura, narrow left middle vault, scooped anterior septal angle, Large medpore implant over complete nasal tip and as a columellar strut, after removal of implant, collapse nasal tip collapse.
A left spreader graft, bilateral alar rim and batten grafts and a columellar strut was placed. Platelet gel was also used.
Comment: Her 4 month postop photos reveal an improved, HEALING, nose. This nose will take approximately one year before the swelling to subside substantially. Her airway is also improved and she has had no problems with the chronic wound since removal of the medpore implant.
