Female patient s/p three previous rhinoplasties. She is unhappy with her retracted ala (nostrils). Also, she complains of middle vault asymmetry.
PROCEDURE: Revision (4th) Endonasal Rhinoplasty with Bilateral Concha Cymba Composite Grafts, Septoplasty, Turbinoplasty and Platelet Gel Application.
FINDINGS: Over-rotated tip and infratip lobule; narrow right middle vault, bilateral alar retraction.
COMMENT: Her 22 months post-op photos reveal a more symmetric nose.
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