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This is a 26 year old who had 3 rhinoplasties done elsewhere. On examination, the patient had a cartilaginous pollybeak, wide illdefined tip, alar asymmetry (right ala higher than left), and a short nose with an overrotated tip. Dr. Foda a revision rhinoplasty on the patient that included osteotomies (bone cuts) to narrow the nasal bones, lowering of the cartilaginous dorsum, lengthening of the nose by a caudal septum replacement graft and a double-layered tip graft, and a revision of previous columellar scar.



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