Secondary Rhinoplasty Patient 06
This patient had undergone multiple prior surgeries to repair nasal deformity resulting from a cleft lip. Ear cartilage was used to correct the airway and nostril asymmetry. The principle is always to restore the normal anatomy.
Secondary Rhinoplasty Patient 07
Prior surgeries collapsed this patient’s septum; ear cartilage created a lump on the bridge. The old grafts were removed and rib cartilage used to create a straight bridge and open airway.
Secondary Rhinoplasty Patient 08
Prior surgeries had left this patient’s airway collapsed and tip knuckled. Septal and ear cartilage were used in her correction. The nose is more proportionate and surface contours are smooth. Airflow quadrupled postoperatively.
Secondary Rhinoplasty Patient 09
This patient developed a saddle nose as a complication following correction of a deviated septum elsewhere. The bridge, tip, and upper lip contour were corrected with rib cartilage. Postoperative views are at 15 years.
Secondary Rhinoplasty Patient 10
Prior surgery had left this woman with a poor airway and a knuckled, distorted tip. Repositioning the distorted cartilages and supporting the airway has improved contour and appearance. Everything is in the nose for a reason. When cartilage is removed, distortion and collapse can result.