Procedure: Rhinoplasty

Surgeon: Dr. Batniji

Location: Newport Beach, Ca

Procedure Detail: This 23 year old female presented with an interest in improving not only the function of her nose but also the shape of the nose. Specifically, she desired removal of a dorsal hump (bump on the top of the nose) while maintaining her ethnicity. As well, she desired removal of ridges of the bony part of the nose that were noticeable on frontal view. Dr. Batniji performed the following:

• Laser turbinectomy/turbinoplasty to reduce the size of hypertrophic (enlarged) inferior turbinates, thus improving her ability to breathe through the nose.
• Septoplasty to straighten the nasal septum, thus improving her ability to breathe through the nose.
• Rhinoplasty via an external approach.
• Bilateral auto-spreader grafts to maintain the integrity of the middle nasal vault and internal nasal valve.
• Dorsal hump reduction (profileplasty) with osteotome to address the bony dorsal hump; a rasp was then used for subtle refinement of the bony nasal dorsum. Cartilaginous dorsal hump was removed conservatively. The upper lateral cartilages were preserved to further maintain the integrity of the middle nasal vault and internal nasal valve.
• Caudal extension graft to maintain tip projection, tip rotation, and tip support.
• Tip graft with morselized cartilage to provide subtle refinement to the nasal tip.