Female patient who had undergone a previous rhinoplasty elsewhere and was left with the resultant deformities. Reductive rhinoplasty techniques resulted in an inverted-V middle vault deformity, pointy nasal tip, low bridge and an over-projected nasal tip. Revision rhinoplasty techniques to address her concerns included bilateral spreader grafts, dorsal onlay graft with temporalis fascia, tip de-projection onto a caudal extension graft, and lateral crural repositioning. Post-operatively, she demonstrates improved bridge height, softening of the nasal tip, correction of the middle vault, and de-projection of the tip to help balance her profile.
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