18-24 year old male treated with Rhinoplasty

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20 yo male with a deviated nose and twisted, fractured septum. He had a nasal fracture in 7th grade and had difficulty breathing which interfered with both sleep and exercise. A preoperative CT scan also discovered bilateral concha bullosa (air filled middle turbinate).

He underwent an open rhinoplasty with major septal reconstruction, bilateral spreader grafts (L double, R single), columellar strut, asymmetric osteotomies. His inferior turbinates were reduced with powered inferior turbinoplasty and the middle turbinate concha bullosa were reduced.

He is breathing great .

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