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Nose correction to enhance appearance after failed treatment done elsewhere

11/2/2016

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A 24 year old girl reported to our hospital seeking cosmetic correction of her nose. She had undergone nose correction operation elsewhere to correct her crooked nose shape and blocked nose but they had used open rhinoplasty technique which resulted in an unsightly scar. She was not at all satisfied with the results. She felt the dorsal surface of her nose was flat which gave her an aged look. She wanted to correct her nose profile cosmetically.
Maxillofacial Surgeon Dr. S. M. Balaji planned to correct her flattened nose by following closed augmentation rhinoplasty. Costochondral rib graft was harvested which was used to augment the dorsum of nose. To prevent scarring, the graft was inserted through intranasal approach. Enlarged turbinates were also trimmed. Results are immediate, patient is very happy to have a sharp, pristine nose without any surgical marks, which suits her facial profile. Also she is happy that she no longer has blockage of the nose and can breathe easily.
Preoperative facial view of the nose showing broad and ill-defined dorsal bone giving asymmetrical appearance
Preoperative profile view showing defective dorsal bone giving wavy appearance
Costochondral rib graft harvested used to augment the dorsum of the nose
Immediate postoperative facial view showing corrected dorsum of the nose without any visible surgical marks on the face
Corrected dorsum of the nose giving pristine appearance
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