This patient presented with nasal obstruction after previous surgery. The patient had a significant deficit of the caudal nasal septum. As a result, she had lost structural support, her nasal tip became droopy and her nasal valves collapsed, causing nasal obstruction. A reconstructive endonasal rhinoplasty was performed by Dr. Gassner with soft techniques. No skin incision was needed (scarless rhinoplasty). No nasal packs were used, the procedure was performed ambulatory. The patient was inconspicuous to the public after about 8 days. Result one year after surgery.
This procedure was medically necessary, because the patient had sustained nasal obstruction and shape change from a previous procedure. Reconstruction of the nasal septum was a key element of the revisional procedure.
Image 1: Frontal view before endonasal rhinoplasty
Image 2: Frontal view 4 years after endonasal rhinoplasty
Image 3: Lateral view before endonasal rhinoplasty
Image 4: Lateral view 4 years after endonasal rhinoplasty