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This North Carolina woman in her early 20’s had a rhinoplasty in 2011 and a revision rhinoplasty in 2012 by a very inexperienced surgeon. She came to me for a discussion 2 years later because she was very displeased that her bridge was very irregular and her tip extremely deformed.  Too much cartilage was removed from her tip and what remained was inadequate to support a normal shape.  This led to collapse and also breathing problems.  Many patients like her who have undergone previous surgery, are quite surprised that this type of reconstruction rhinoplasty or revision rhinoplasty requires rib cartilage to obtain the best result.  Fortunately, the rib cartilage could be harvested at the fold beneath her breast to minimize the scar.  The after photo shows her 10 months after her revision rhinoplasty with multiple rib grafts and temporalis fascia grafts. She is very happy that her nose appears normal and as attractive as her face.  She also finds her breathing improved. 

Surgeon: Dr. Thomas Hubbard
Patient Age: 24
Patient Gender: Female

Case Number: 427

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