Rhinoplasty – Patient 124

A woman in her mid 40’s who is bothered by drooping of the nasal tip and a dorsal hump. The tip is also bulbous in appearance. She snores and wakes up with a dry mouth in the morning. On exam she has a positive “Cottle” maneuver bilaterally demonstrated collapse at the internal nasal valve ( the area that is improved with “breath rite strips”) as well as septal deviation. She is shown before and again, 2 ½ years after an open rhinoplasty with septoplasty and correction of the vestibular stenosis with bilateral spreader graft placement. Her nasal obstruction has resolved, and she is pleased with the natural appearing improvement of her nose.