We Performed Rhinoplasty for a Crooked and Flattened Nose
We performed a micromotor-assisted rhinoplasty on a female patient who presented with severe nasal congestion, in addition to significant nasal deviation and a flattened appearance. Preoperative examination revealed the following:
- C-shaped asymmetric light reflection along the nasal axis (crooked nose deformity)
- S-shaped nasal septal deviation
- Weak tip support and a flattened (under-projected) nasal tip
- Caudal septal deviation (anterior septal dislocation shifting into the right nostril)
- Thick nasal skin
- Slightly prominent cheekbones and slanted eye shape (Asian facial features)
- Appearance of a relative nasal hump due to a drooping nasal tip
The patient underwent an open-technique, micromotor-assisted septorhinoplasty.
During the operation, the following procedures and graft applications were performed:
- Two-level subcutaneous dissection and subcutaneous tissue removal (to thin the skin)
- Partial hump reduction using a micromotor and bilateral osteotomy assisted by an ultrasonic device
- Additional external osteotomy
- Placement of a left spreader graft
- Repositioning of alar dome points
- Caudal septoplasty
- Placement of a septal extension graft
- Placement of a cap graft
- Placement of a left marginal rim graft
- Left alar base resection
A comparison of the patient's preoperative and postoperative images shows:
- The nasal axis has been aligned to the midline
- The nostrils appear much closer together
- Nasal projection has increased
Following the operation, the patient's nose was bandaged, and a thermoplastic splint was applied.
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Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon
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