Complex Rib Revision Rhinoplasty on a Male Patient

A very complicated revision rhinoplasty case. Patient has a history which includes nasal trauma and previous rhinoplasty. A synthetic implant used in the previous rhinoplasty which extruded through his nasal tip. As can be seen in his pre-operative photos, he suffered from a severely retracted nose and loss of dorsal height. He was planned to be staged in two separate procedures to maximize cosmetic outcome. Here he is seen after his first stage procedure. Rib cartilage was used to rebuild his nasal dorsum. An entire reconstruction of his septum and nasal tip was accomplished. Rib cartilage grafts were used to rebuild his dorsal height, significantly counter-rotate his nasal tip, and increase his tip projection.