It was explained to him that a closed rhinoplasty would be performed to correct the imperfections in his nose. There would be no visible scarring from this procedure.
A transcartilaginous incision was made and dissection was done to the lower lateral cartilages. The lateral cruces were excised to reduce the breadth of his nose. Dissection was then done to the dorsum of his nose. His nasal hump was rasped down to give his nose a straight profile.
Bilateral Weir excisions were then performed to reduce the breadth of his alar base. This resulted in a nasal structure that was in harmony with the rest of his face.
The patient and his parents were very happy with the results of the surgery. They expressed their satisfaction before final discharge from the hospital.