Gallery

PRESERVATION RHINOPLASTY Case 11

Gender
Female

Description

38-year-old female presenting today in consultation regarding aesthetic nasal concerns. Patient desires dorsal hump reduction, increased tip rotation for a ptotic nasal tip, tip refinement, straightened nasal pyramid. She reports some nasal congestion. She underwent a Primary cosmetic preservation septorhinoplasty with septal cartilage grafting (left SEG). A modified dorsal cartilage z plasty incision was performed along with an osteotomy through the perpendicular plate of the ethmoid bone to allow for let down of the dorsal hump. At this point, the nasal dorsum was fully let down. A 5-0 prolene was placed around the excised septal cartilage segment to hold the let down dorsal hump in position. An inferior oblique incision is then carried caudally through to the anterior septal angle to level of cartilaginous dorsum. The Z flap with a SEG was instrumental in achieving these results.