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Man: This is my patient, Kenya[SP]. She had a revision of a cleft nose repair done on her approximately, was it three months ago?
Kenya: Two months.
Man: Two months ago. And you can see the before. She had significant collapse of the cartilages here. You can see on the base view what it sort of looked like. Here's another view where she really had very little support here, and then here she had what's called a pollybeak or a very pronounced excess amount of cartilage right along here, and then her tip sort of drew back. What was done on her ... let me show you her result, there she is. You can see she created a much more symmetric tip, put a cartilage graft. I took some ear cartilage and placed it right here, did some soft tissue work, mostly from the inside. So it's mostly cartilage work.
On the profile, we went ahead and took down her bump. She has a slight under-projection of her tip, which means that the tip droops a little bit, but you can see the improvement. And that's because I put some cartridge in here to help bring her tip out.
What I'm going to do today is put a little bit of what's called steroid right in this area. That will help shrink this because she has some scar tissue and give her support. The goal is to give her basically this look of a nice straight profile. Then you can see from the base view, you can see how much more symmetric she looks. You can see that these nostrils are much more symmetric. What do you think in words?
Kenya: I'm so happy with my new nose.
Man: All right.
Kenya: Two months.
Man: Two months ago. And you can see the before. She had significant collapse of the cartilages here. You can see on the base view what it sort of looked like. Here's another view where she really had very little support here, and then here she had what's called a pollybeak or a very pronounced excess amount of cartilage right along here, and then her tip sort of drew back. What was done on her ... let me show you her result, there she is. You can see she created a much more symmetric tip, put a cartilage graft. I took some ear cartilage and placed it right here, did some soft tissue work, mostly from the inside. So it's mostly cartilage work.
On the profile, we went ahead and took down her bump. She has a slight under-projection of her tip, which means that the tip droops a little bit, but you can see the improvement. And that's because I put some cartridge in here to help bring her tip out.
What I'm going to do today is put a little bit of what's called steroid right in this area. That will help shrink this because she has some scar tissue and give her support. The goal is to give her basically this look of a nice straight profile. Then you can see from the base view, you can see how much more symmetric she looks. You can see that these nostrils are much more symmetric. What do you think in words?
Kenya: I'm so happy with my new nose.
Man: All right.
A Cleft Nose Goes From Collapsed to Correct
Dr. Jeffrey Epstein has repaired a previous revision rhinoplasty of a cleft Nose to give his patient more support but really an overall more aesthetically appealing nose.
