Procedure: Septoplasty, External Rhinoplasty with alar base reduction, platelet gel application.

FINDINGS: 3+ right middle vault/ internal valve collapse with cephalic lateral scroll of right lower lateral cartilage depressed. Open rhinoplasty to address right internal nasal valve. Weak alar rims.

Comments: Multiple spreader grafts placed on right. Rim grafts also placed. Her 8 month postop photos reveal a softer, but yet healing nose.

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