Rhinoplasty #284

Our beautiful college student is seen before, and 13 months after rhinoplasty surgery. She presented with both functional and cosmetic concerns. She had bilateral chronic nasal obstruction due to congenitally weak external nasal valves, a deviated nasal septum, and chronic rhinitis with turbinate enlargement, from chronic nasal allergy. She was also upset with the appearance of her dorsal hump and droopy tip. She felt that her nose was too large and distracting, and her chronic nasal obstruction was also associated with frequent recurrent episodes of sinusitis. The functional portion of her surgery consisted of repairing her deviated nasal septum, reducing her turbinates, and reinforcing her external nasal valves with lateral crural extension grafts. From a cosmetic standpoint, we deprojected her nasal profile appearance while keeping a straight dorsal profile, and we narrowed the upper middle and lower thirds of her nose on front view. She is breathing better postoperatively than she has her entire life, and we are both thrilled with her results. I am grateful that she allowed us to post her photographs which are simply stunning.