Patient is a 30 year-old female who underwent a previous rhinoplasty and was unhappy with the appearance of her nose. She felt that her nose did not appear symmetric, and was disappointed with her bulky and down-turned nasal tip. She desired a model’s nose with a more elegant profile and delicate tip that better complemented and accentuated her facial features.
This patient had a classic “polybeak deformity” after her previous rhinoplasty. This is due to formation of excess scar tissue at the nasal tip, and often over reduction of cartilages without adequate support. She underwent Secondary Rhinoplasty with narrowing of nasal bones and contouring of nasal tip with placement of cartilage grafts to the mid-nasal vault, cartilage support of the nasal tip, and cartilage tip graft all from ear donor sites. Note that she now has beautiful dorsal aesthetic lines with narrower nasal bones, and a delicate model-like nasal tip that appears more feminine and refined. She was delighted with her rhinoplasty result.