| Pre-Operative Diagnosis: Nasal obstruction secondary to malpositioned lower lateral cartilages (external valve collapse)/Internal valve collapse, turbinate hypertrophy and deviated septum.
Septal Deviation
Bilateral turbinate hypertrophy
Procedure: External Septorhinoplasty with placement of bilateral lateral crural strut grafts, spreader grafts, columellar strut and repositioning of the lower lateral cartilages. Turbinoplasty and platelet gel application.
FINDINGS: Weak alar rims secondary to malpositioned lower lateral cartilage causing collapse, left deviated septum with spur with caudal deviation to left & narrow middle vault (left greater than right), and nasal tip ptosis.
Comment: Her 8 month photos reveal a healing nose.
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