Patient is a 17 year-old female who underwent a previous septorhinoplasty and was dissatisfied with both her functional and cosmetic result. Despite her previous procedure she could not breathe well through the left nostril, and was unhappy with her dorsal bump, and her elongated and drooping nasal tip that lacked adequate projection. She wanted more of a “model’s” nose and to have more effortless breathing.
Procedure: Revision septothinoplasty with placement of bilateral spreader grafts and septocolumellar strut from ear donor site. Her nasal dorsum was reduced and made more elegant, and the spreader grafts were placed to improve breathing and establish dorsal aesthetic lines. The septocolumellar strut was placed to increase tip definition and projection giving a much more elegant appearing nose. Photographs are 4 months post-surgery, and she id delighted with result and breathes without problems.