Revision Rhinoplasty Case #1870

This is a 46-year old, healthy male who presented with a history of two prior rhinoplasties. He was bothered by the significant hump noted on his profile in addition to the width of his nostrils. After evaluation and discussion in clinic, it was determined that the hump appeared after placement of Gore-Tex under the bridge for camouflage during the revision procedure. The skin started to appear discolored and tender. He underwent an open rhinoplasty procedure with us to remove the foreign material, smooth the bridge and cover it with fascia from his temple, and narrow the width of the nostrils. Gore-Tex, medical-grade material is often used to hide irregularities underneath the skin of the nose, but it can produce poor results. As a result, we use temporalis fascia which is a natural blanket that comes from the patient's temple region. He is early in his recovery, but already very pleased with his results.

1. Notice the width of the nasal bones and nostrils before the procedure compared with after.
2. Notice the improvement in the hump on the bridge of the nose as well as the orientation of the nostrils.
3. The hump was successfully reduced and the skin quality - after removing the tension - was improved.
4. The three incisions are relatively inconspicuous and we expect the pinkness to improve over time.

• Patient #: 1870
• Gender: Male
• Ethnicity: Caucasian
• Age: 41 - 50
• Specialist: David Kowalczyk, M.D.
• Procedure: Revision Rhinoplasty