Preoperative Diagnosis: Brow ptosis, upper eyelid dermatochalasis, history of chin implant by another surgeon with an undesirable appearance, nasal obstruction, deviated septum, hypertrophic turbinates, nasal dysmorphia, aging neck with platysmal bands.
Face: Left brow ptosis greater than right, pre-existing chin implant fractured in multiple places.
Nose: narrow right sidewall; left narrow dome; 3+ concave left greater than right lower lateral cartilage (LLC); right LLC concave lateral to dome; narrow middle vault; left greater than right external valve collapse; open roof deformity; amorphous, asymmetric tip; thin skin with scarification to nasal skeleton; cartilaginous dorsal hump; over-projected tip; asymmetric domes; right greater than left retracted rims.
Comments: This is a patient who wished to refresh her facial appearance, and revise a previous chin implant and rhinoplasty performed by a different physician. Post surgery photos reveal a rejuvenated upper face and a more natural appearing nose.
Concepts Related to Linda’s Procedure
Turbinoplasty: There are three turbinates in each nasal pasage. Each one protrudes from the sidewall of the nose. The lower or inferior turbinate is by far the largest of the three.
Turbinates are shaped like a scroll, and act to warm, air before it passes on to your throat. Throughout the day, the turbinates periodically change size in a pattern known as the nasal cycle. That’s why at any given time, a person can usually breathe better out of one side the other. Turbino plasty is the operation performed to reduce the size of the turbinate. Usually, only the inferior turbinates need correction.