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Mitzi -
Female patient with a history of previous rhinoplasty from another surgeon unhappy with her nose, especially the left nasal sidewall.
Findings: Narrow left middle vault with internal valve compromise, over-resected right lower lateral cartilage (intermediate and medial crural present with bossa formation) with external valve collapse.
Procedure: Revision Rhinoplasty with ear cartilage graft with placement of left spreader graft, left lateral crural strut graft and crushed conchal cartilage onlay grafts to left nasal sidewall.
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