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Quaternary rhinoplasty before and after: rib graft reconstruction, septoplasty and turbinates, woman

Ultrasonic rhinoplasty - Case ML270623

A patient operated three times before who came with a wide nose, no dorsal lines and an unsupported tip, plus breathing problems. I performed an open structural quaternary rhinoplasty: narrowing of the nasal bones with ultrasound, creation of the dorsal aesthetic lines, septoplasty and turbinate reduction, and reconstruction of the tip support with a rib graft. The photos, at 6 months, show a narrower, better defined dorsum and a supported, symmetric tip. More about this technique on the ultrasonic rhinoplasty page.

  • Gender: Female.
  • Surgery: Quaternary Rhinoplasty.
  • Technique: Open structural.
  • Technology used: Ultrasonic.
  • Rib graft: Yes.
  • Postoperative time: 6 months.

Before & After photos were disclosed under patient´s authorization for demonstration purposes. Surgery results depend on the personal characteristics before surgery.

Three-quarter view, left · dorsal lines defined at 6 months

Quaternary rhinoplasty before and after, three-quarter view left: dorsal aesthetic lines defined at 6 months, Dr. Marco Romeo

Front view · nasal bones narrowed, slimmer nose

Revision rhinoplasty before and after, front view: nasal bones narrowed, Dr. Marco Romeo

Base view · tip rebuilt with rib graft

Quaternary rhinoplasty before and after, base view: tip support rebuilt with rib graft, Dr. Marco Romeo