This patient can breathe like never before! She has had several previous surgeries on her nose by other surgeons. Unfortunately, she had severe nasal obstruction and apnea.
She also hoped for improved nasal symmetry. We performed an open cleft rhinoplasty, including release of scar tissue and reconstruction with multiple cartilage grafts (spreader, septal extension, columellar strut, lateral crural strut, and tip grafts).
MTF cadaveric cartilage was used after discussion pros and cons of using her own rib versus donor cartilage.
She is seen here at just 4 weeks, so the swelling will still go down another 50%. Fat graft was also performed for the upper lip, to add more bulk to begin balancing that with the lower lip.
Jaw surgery will be performed in the future. Cleft rhinoplasty is usually performed after jaw surgery. However, in this case, her breathing obstruction was severe enough to warrant doing the nose portion sooner.
The alar base scarring and any further refinements may be done at the time of the jaw surgery.
For more, visit our Rhinoplasty page or call us at (214) 241-1997.
👨⚕️ Dr. Huay-Zong Law
☎️ (214) 241-1997
📍 Dallas, TX
📍 Plano, TX
🏥 Board-Certified Plastic Surgeon
🎓 Craniofacial Fellowship Trained