This patient is in her mid-thirties and had undergone two previous cosmetic rhinoplasties by another surgeon. Her previous goals had been to refine her tip and remove a small dorsal hump. Unfortunately she developed breathing difficulty as she healed from her first surgery. The lower part of her nose had collapsed which caused her to have to pull her nostrils open to be able to breathe.
On the frontal view you can appreciate the pinched appearance of her lower nose. The base view shows the degree of collapse.
Surgery involved releasing scar and taking cartilage grafts from her septum to rebuild the lower portion of her nose. Following surgery, her nose looks less pinched and she can breathe for the first time in eight years!