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This Newport News Virginia woman in her early twenties was bothered by the shape of her nose. After a thorough exam and discussion, I pointed out that her tip cartilages not only bulge out, but curve inward into her airway. I explained the advanced techniques now available to treat this, however she may not have sufficient cartilage in her septum. In that case, we may need to use rib grafting. As expected, it became evident during surgery that there was not enough cartilage to totally reshape the tip cartilages, especially when they go to the side. I took these cartilages and lined them underneath with a very thin piece of rib graft which held them straight. This eliminated the bulge and the pinching of dimpled look on the sides of her nose. Her tip was positioned with structural technique in exactly the right place. She is shown here only four months after surgery. There is still considerable swelling, but she is already extremely happy with the natural look of her nose and her breathing is excellent as well.

Surgeon: Dr. Thomas Hubbard

Case Number: 749

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