08/12/2025
Starting the new week with a complex revision rhinoplasty.
Our lovely patient from the United States had undergone three previous rhinoplasty surgeries and presented with a highly challenging nasal anatomy.
Here is an overview of what we performed:
• We harvested costal cartilage for structural support.
• She had significant breathing problems: the caudal septum was deviated and fractured. We corrected this with a subtotal septal reconstruction.
• On the left side, the external nasal valve was narrowed due to bony impingement at the nasal entry. We relieved this by removing a Webster triangle bone wedge, restoring function.
• Through bilateral lateral osteotomies and osteoplasties, we reshaped the bony vault and closed the open-roof deformity.
• Using the COST technique, we optimized tip projection.
• To correct the retraction of the right lateral crus, we detached it from its attachment, sutured accessory cartilages to the scroll area, and added a composite graft to the right lateral crus.
• We meticulously removed fibrous tissues and old prolene sutures as much as possible.
• Fascia and costal perichondrium were used for camouflage over the tip and dorsum.
• With the FReD technique, we refined the footplate and achieved nostril symmetry.
We have planned the postoperative healing process together with our patient and will continue close follow-up until full recovery is achieved.
Wishing our dear patient a lifetime of happiness with her new nose.
This post is for informational purposes. Patient consent has been obtained. Our clinic is authorized by the Ministry of Health of Türkiye for International Health Tourism. Surgical or interventional results may vary from patient to patient. It is recommended that you receive detailed information from your physician before deciding on the procedure.
