03/16/2026
I wanted to share this series of before and after of my wonderful patient, early 3 months results from cleft rhinoplasty Revision with combined with functional nasal surgery and microfat, nanofat and costal cartilage grafting. I also grafted her alveolar cleft after failed bone grafting. Thank you to my patient for sharing her comprehensive facial rejuvenation.
This complex case included bilateral spreader grafts (L>R), bilateral lateral crural strut grafts, bilateral alar rim grafts, right alar base plumping graft, columellar plumping graft, CSEG, diced cartilage onlay graft with PRFM, temporalis tip graft, and nanofat onlay with PRP. The patient also underwent septoplasty and bilateral turbinate reduction with outfracture to improve nasal function.
To enhance facial balance and restore youthful volume, 40cc of fat was harvested from the inner thigh and transferred to multiple areas of the face, including the A-frame deformity, tear troughs, temples, melolabial folds, alar base, marionette lines, cheeks, upper lip, and jawline. Additional regenerative support included temporalis fascia graft, PRP, and PRFM.
At just three months post-op, healing is still evolving, but you can already appreciate improved structure, balance, and facial harmony.
📍 Texas Center for Facial Plastic and Laser Surgery
14603 Huebner Rd, Building 1, Suite 102
San Antonio, TX 78230
📞 (210) 468-5426
🔗 drjosebarrera.com
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