This patient did not like the shape or proportion of her nose. She had a rhinoplasty in the past and was unhappy with the results of her surgery. She felt like the bridge was too scooped on profile view. She was concerned that the tip of her nose was asymmetric and looked unnatural. She had difficulty breathing through her nose.
Dr. Kolstad used rib cartilage to add height to and straighten the bridge of her nose. The nasal tip was rebuilt using rib cartilage to improve the symmetry and restore the breathing. The hanging columella (nostril droop) was lifted to a more pleasing, feminine angle.
This complex type of revision rhinoplasty typically takes Dr. Kolstad 4-5 hours to complete.