Preoperative Diagnosis: Nasal obstruction secondary to nasal inlet obstruction (bony deviation),Internal valve collapse, turbinate hypertrophy and deviated septum.

Patient also desired improvement of the appearance of her nose.

Procedure: External septorhinoplasty, turbinoplasty and platelet gel application with placement of lateral crural strut grafts, columellar strut and spreader grafts (double on the right).