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Mitzi - Female patient with a history of previous rhinoplasty from another surgeon unhappy with her nose, especially the left nasal sidewall. Findings: Narrow left middle vault with internal valve compromise, over-resected right lower lateral cartilage (intermediate and medial crural present with bossa formation) with external valve collapse. Procedure: Revision Rhinoplasty with ear cartilage graft with placement of left spreader graft, left lateral crural strut graft and crushed conchal cartilage onlay grafts to left nasal sidewall. Click Here to read Mitzi's Testimonial.