Rhinoplasty

Dr. Reish

A woman in her 50s, who had a previous rhinoplasty with a silicone implant which left her with a bulbous tip with no clear tip defining point, drooping tip, dorsal hump, nostril asymmetry, and inability to breathe through her nose. She is now two months post-op from revision rhinoplasty with complete removal of silicone implant, tip elevation, improvement of tip symmetry, creation of a tip defining point, improvement of nostril symmetry, placement of a dorsal onlay graft consisting of diced cartilage wrapped in fascia, and placement of a columellar strut graft and spreader grafts using MTF cartilage to add tip support, tip refinement, and improve her breathing.