Depressed nose correction by closed rhinoplasty

Depressed nose correction by closed rhinoplasty

A 25-year-old girl reported to our hospital with complaints of depressed nose and asymmetrical upper lip. She was very unhappy with the shape of her nose and said that it affected her facial appearance.

Maxillofacial Surgeon Dr. S.M.Balaji planned to correct her nose using cc graft. Rib cartilage graft was harvested from the 8th intercoastal rib. The nasal bridge was augmented with cc graft. The left side of the nose was elevated using the cc graft as a strut graft. The lip revision was also done using Modified Millard’s technique. Results were immediate and the patient was very pleased with her new looks. This dramatically improved her appearance and helped regain her confidence.

Pre-operative view showing depressed left nostril and asymmetric lip
Worm's eye view showing ill-defined columella and depressed left nostril
Costochondral rib graft harvested
Costochondral graft site sutured
Immediately after suturing showing increased nasal bridge height with corrected nose and lip defect
Post-operative columellar view showing corrected nostrils shape and size with raised columella of nose
smbalaji:
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