This 52-year-old woman had undergone two previous rhinoplasties and complained of left nasal obstruction. She desired more nasal symmetry and for the tip to be counter-rotated (Fig. 12.1A-H).
Fig. 12.1 (A–D) Preoperative photos of the patient.
Analysis of Preoperative Photos
The dorsum is convex to the right with narrowing of the left middle vault. The tip is asymmetric, amorphous, pinched, and deviated to the left. There is a bossa on the left with collapse and retraction of the left nasal ala and rim. The right alar rim is more mildly retracted. There is a residual bony hump. The tip is over-rotated and under-projected. The caudal septum deviates to the right.
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