18-24 year old woman treated with Rhinoplasty

Dr. Romo performed a reduction structured rhinoplasty. In this technique, cartilage is removed from inside the nose and is used to rebuild the nose to precise, predetermined measurements. To provide tip support, Dr. Romo used multiple inlay cartilage tip grafts from the ear. As the nose heals, the scarring process causes the skin to shrink wrap over the nasal frame. The added infrastructure via Dr. Romo's technique prevents the tip from assuming a pointy appearance, and also prevents constriction of nasal passages, which can lead to post-operative breathing problems. External reduction structured rhinoplasty is a technique pioneered by Dr. Romo in which cartilage is taken from inside the nose while straightening the septum, and is used to rebuild the nose to predetermined measurements. As the nose heals, the skin shrink wraps around the nasal structure. Without the proper framework, the tensile forces caused by scarring distort the external and internal structure. This leads to breathing problems as well as aesthetic problems, such as upturned nose, crooked tip, and asymmetrical nostrils. By adding architecture back into the nose at select spots, Dr. Romo enables the nose to withstand the constrictive forces. Problem with conventional reduction rhinoplasty is that when bone and cartilage is removed, and the skin constricts over the nasal framework during the healing process, the internal passages constrict as well. This causes breathing problems, as well as over-resection of the nose. The nose may take on an upturned or pointy appearance, and nostrils may look asymmetrical or “pinched”.