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This is a 25 year old male patient who had multiple failed rhinoplasties done elsewhere. The patient is complaining of bilateral nasal obstruction and of multiple nasal asymmetries. On examination, the nose shows signs of overly resected nasal cartilages in the form of lateral nasal wall depressions (more on right side). The profile view shows a retracted columella (the part between the nostrils). The basal view shows bilateral alar collapse (inwards concavity of the nostrils’ side walls). Additionally, there is marked asymmetry of alar rims (lower on the right side). Dr. Foda performed a revision rhinoplasty using the patient’s ear cartilage to restructure the nose.



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