The deviated, oversized nose

The current treatment for an oversized and deviated nose for most surgeons is an open rhinoplasty to add pieces of cartilage called grafts under the skin to camouflage the deviation.  However, there is another way.  Using principles of structural engineering, one can analyze that the nose has severely deviated due to buckling of too much cartilage of the nose trying to squeeze into a petite bony skull opening.  So, by releasing and resizing and repositioning the cartilage (and bone) with NO grafts and no reliance on sutures, one can make an appropriate SIZED nose that generally lies in the midline without any forces that want it to move back.  Is it a perfect solution?  No, but it is much better, having been trained in the camouflage art, with vastly better breathing and aesthetic results without the unpredictable healing of grafts that have no blood supply.  During the early period, there can be more swelling in the face, but after a week or two, the body accomodates to the newly resized and repositioned nose than it does to foreign bodies like grafts or implants.  Here is an example from recently in a young lady:

Rhinoplasty
Severe deviation
big nose rhinoplasty
Oversized and deviated nose

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