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.
Image Captions:
1) Revision Rhinoplasty San Diego 540: Dr. Kolstad used rib cartilage to rotate the tip of the nose downwards and add height to the bridge.
2) Revision Rhinoplasty San Diego 541: Rib cartilage was used to reshape the bridge of the nose. There is now a continuous shadow from the eyebrow to the tip of the nose with an improved linear highlight along the bridge.
3) Revision Rhinoplasty San Diego 542: Rib cartilage was added to the bridge of the nose to make it perfectly straight. The nostril droop was corrected and the tip was refined.
4) Revision Rhinoplasty San Diego 544: Rib cartilage was used to add height to the bridge of the nose and to build a columella.