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Rhinoplasty Before & After Photos Patient 20
A much more balanced profile following hump reduction, tip rotation, tip refinement and correction of a hanging columella. Many thanks to this patient for providing us with consent to display her photos.
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Dramatic changes to the tip area were planned, indicating an open rhinoplasty.
Exposing of Nasal Tip Cartilages
An inverted V incision was created in the columella skin to allow for an open approach rhinoplasty. The medial crura was separated to expose the caudal septum which was deviated towards the patient’s left. A septoplasty was performed to correct this.
Correction of Hanging Columella
A slight amount of the caudal edge of the septum was removed as it was pushing the columella downward, causing a hanging columella. The tip cartilage themselves were also quite soft with a poorly defined dome. The dome defining sutures were place and this brought the dome defining position slightly inferiorly which improved part of the hanging columella.
The dorsal hump was removed using sharp scalpel and osteotome, followed by lateral percutaneous osteotomies to close the open roof.
Tip Refinement & Rotation
The medial crura were then scored to reduce there intrinsic curvature and these were gently retracted back onto the previously excised caudal septum to decrease the columellar show. This was sutured in a mattress fashion through and through from the medial crura to the caudal septum. This was done at 2 locations. The posterior edge of each dome was then sutured to one another to gently indraw the nasal tip but maintain the separated dome-defining points. The columellar flap was then re-approximated and closed.