Description:

Description:

Improvement Focus: Dorsal Over-projection, Dorsal Width, Dorsal Irregularity, Tip Width and Shape, Short Nose, Major Septal Deviation

Technique: Open, Utilization of PDS Mentor / Johnson & Johnson Absorbable PDS Structural Sheet, Alar Base Reduction

Graft Types: Bilateral Spreader, Columellar Strut, Sub-Domal, Bilateral Alar Rim

Graft Source: Septal and Costal Cartilage

Patient Story: This patient is a nurse who is employed in the same practice as Dr. Weinfeld in Austin, Texas. While she does not recall a specific trauma, she had several misshapen elements to her external nose and severely deviated septum. Her goals related to both functional change and appearance change. She underwent a complex rhinoplasty. Do to complete derangement of her septal cartilage it did not provide the grafting material that was required for restructuring of her nose. Thus, rib cartilage was harvested to help provide additional material to make the required grafts. Additionally, an absorbable structural sheet was used to provide internal support as the tissues healed. She has been very pleased with her improved form and function.