Introduction

A 19-year-old woman presented 8 months after a functional and aesthetic rhinoplasty with hump removal, complaining of an un-sightly step deformity in the left bony nasal pyramid. She also claimed that she had more difficulty breathing through the left side of her nose than through the right side.

Findings

Frontal view ( Fig. 21.2a ) shows a displaced osteotomy fragment on the left side. Profile view ( Fig. 21.2b ) shows a small residual hump. The step deformity is clearly visible in the overhead view ( Fig. 21.2c ).

Fig. 21.2d , Fig. 21.2e , and Fig. 21.2f show corresponding views taken 2 years after revision rhinoplasty.