Rhinoplasty

Photos - Case #15118

Procedure: Rhinoplasty

Surgeon: Dr. Batniji

Location: Orange County California

Procedure Detail: This 38 year old female presented with an interest in changing the shape of her nose. Specifically, she desired removal of a dorsal hump (bump on the top of the nose) and more definition of the nasal tip. During the consultation and review of her photographs, Dr. Batniji noted a prominence of the left nasal bone contributing to the bony dorsal hump and a broad nasal tip. The patient wished to achieve the aforementioned goals while maintaining her ethnicity. collapse of the middle part of the nose on the left, thus resulting in nasal airway obstruction and a “c” shaped deformity on frontal view. Using digital imaging software, Dr. Batniji demonstrated the perceived benefit of an ethnic rhinoplasty. Dr. Batniji performed the following:

• Septoplasty to straighten the nasal septum, thus improving her ability to breathe through the nose.
• Rhinoplasty via an external approach.
• Bilateral spreader grafts to maintain the integrity of the middle nasal vault on both sides and, thus, preserve both internal nasal valves.
• 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 slightly increase projection of the nasal tip, maintain tip rotation, and provide tip support.
• Suturing techniques to improve definition of the tip cartilages (lower lateral cartilages).
• Tip graft with septal cartilage to provide subtle refinement to the nasal tip; Dr. Batniji utilized morselized cartilage as the tip graft to soften the appearance and provide a natural result.
• Bilateral lateral crural grafts to strengthen the alar sidewalls and provide natural contours to the nasal tip.