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This is a 34 year old male patient who had one previous nasal surgery in which most of the cartilaginous septum was excised. On examination, the patient had an external nasal deviation with depressed left nasal wall and bulging right side, cartilaginous saddle (low dorsum), depressed tip, deficient premaxilla with an acute Nasolabial angle. Dr. Foda performed a revision rhinoplasty on the patient which included osteotomies (bone cuts) to correct the bony deviation, dorsal augmentation, premaxillary augmentation with Mersilene mesh and a caudal septum replacement graft to increase the tip projection and support.



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