- Gender
- Female
- Age
- 33
Description
33-year-old female presenting today in consultation regarding aesthetic nasal concerns. PThe patientdesires dorsal hump reduction, increased tip rotation for a ptotic nasal tip, tip refinement, straightened nasal pyramid. 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.