PROCEDURE: Open rhinoplasty with placement of
spreader grafts, lateral crural strut grafts, repositioning of lower lateral
cartilages, placment of deep temporalis fascia, septoplasty and platelet gel
application.
OTHER PROCEDURES:
upper eyelid ptosis repair, lower eyelid fat repositioning.
FINDINGS: Malpositioned lower lateral cartilages with narrow middle vault.
COMMENTS: Improved appearance of nasal vault following reconstruction.
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