39 year old Turkish male with a history of multiple nasal traumas. Patient had severe left nasal deviation and septal deviation completely occluding the left nasal cavity. Patient was also complaining of a dorsal hump and bulbous tip. During his in depth consultation with Dr. Slupchynskyj, he had computer imaging, which showed the achievable correction of functional and cosmetic nasal deformities. A lateral computer imaging is shown with the before, computer imaging and after.
Dr. Slupchynskyj performed a complex Open Rhinoplasty reconstruction. The patient had multiple septal grafts including a septal strut graft, septal shield graft and septal spreader grafts. The septal spreader grafts were used to open the left nasal valve and realign the left nasal vault. The nasal dorsal hump was removed using a combination of rasping and horizontal bony osteotomy. In addition, the patient had low and mid nasal osteotomies (precision nasal bone cutting) in order to further realign the bony nasal vault. Refinement of the tip was completed by defatting the tip along with placement of multiple onlay tip cartilage septal grafts. This patient is presently 1 month post-op and his tip will continue to become more refined and smaller over the next 6 to 12 months. Dr. Slupchynskyj also uses a combination of steroid injections to the tip and gentle massage to help the tip become even more refined over time.