Young man unhappy with the appearance of his nose and with problems with nasal obstruction.

PREOPERATIVE DIAGNOSIS: Deviated nasal septum and unacceptable nasal appearance, hypertrophic turbinates

Procedure: Open rhinoplasty, septoplasty, bilateral turbinoplasty, right deep temporalis fascia harvest used as a radix graft.

FINDINGS: Preop: lower lateral cartilage cephalad edges: concave. Septum: caudal deviation to right and spur to left.

Comments: His postoperative nose is softer and is still healing.