Rhinoplasty Patient 23

This 28 year old was referred to Dr. Parker by another patient with concerns about the appearance of her nasal tip. She had undergone an open rhinoplasty by another plastic surgeon two years earlier. She feels her nasal tip is still too full when seen in profile and too wide with asymmetric nostrils when seen in front view. Dr. Parker performed a secondary open rhinoplasty using the same incisions made by the first surgeon. He removed thickened scar tissue from the supratip area, removed excessive alar cartilage leaving 6 mm rim struts as measured with calipers and removed 2 mm of excessive anterior septal cartilage. In addition, he removed asymmetric excess fat from the supratip area. In closing his incisions he was careful to obliterate “dead space” in the supratip area to prevent recurrent scar tissue from forming. The patient had no bruising, a moderate amount of swelling and saw a dramatic improvement immediately. She loves the natural appearance of her nose which has better balance with the rest of her face.