Asymmetrical, Crooked Noses and More Difficult Than Normal Primary Rhinoplasty Operations
We performed rhinoplasty operation on a female patient with a crooked nose deformity with a caudal septal dislocation after a previous trauma, and a patient with a twisted nose deformity who also had a history of trauma and had a sagging nose tip after a septoplasty operation performed in another clinic.
Case 1 - Patient With Past Nasal Trauma - Caudal Septal Dislocation - Crooked Nose Deformity
Caudal septum deviation, collapse of the right nasal wing, crooked nose deformity were detected in the patient with a history of nasal trauma in childhood. We performed a micromotor assisted, open technique rhinoplasty operation on the patient. In the videos and photos below, you can find pre- and post-operative images of the patient. In this patient, resection of the right alar cartilage and medial crus was also performed. Although the patient I am sharing with you here is primary rhinoplasty; A case with altered anatomy and asymmetry in many nasal structures after trauma. Some of these asymmetries may also be due to genetic factors. After the operation, internal silicone plint and external silicone splint were placed, and it was planned to remove the nasal bandage and splints 1 week later. The patient was also recommended to use nostril retanniner for 1 month or longer. In this way, it is not scientifically easy to obtain a fully millimetrically symmetrical result with only one aesthetic nose operation in patients with severe asymmetrical nasal deformity.
Case 2 - Severe Asymmetry in Nostrils - Nasal Tip Sagging and Insufficient Nasal Tip Cartilage Support - Thick Skin Nose Features - Patient with Twistes Nose Deformity
We performed open technique rhinoplasty and total septal reconstruction operation using rib cartilage on the patient who had sagging and asymmetry at the tip of the nose, twisted nose deformity after previous trauma and septoplasty operation. When the caudal part of the nasal septum is dislocated due to trauma, resected only this part can cause severe loss of nasal tip support and nasal tip droop. Again, depending on the trauma, loosening of the nasal tip support tissues, asymmetry, and different deformities of the nasal bone may occur. L-Strut graft, marginal rim grafts, septocolumellar suture techniques, cap graft were used to reconstruct the nasal cartilage support of this patient. The patient's nasal tip tending forward and upward, narrowing, improvement in asymmetric reflections on the nasal bone can be seen in the videos and photographs below. Bilevel skin dissection and underskin tissue resection were also performed on the patient using the open technique.
Similar links >> Correcting A Crooked Nose / Rhinoplasty Operation For Crooked Nose / We Performed Micromotor-Assisted Thick Skinned and Crooked Nose Aesthetic Surgery For Female Patient
Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon
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