Pre - Operative

This patient underwent previous surgery in the orient and had erosion of a silastic implant through the skin of the nasal tip. This left a depressed scar over the nasal tip and tremendous scar tissue. The patient underwent a secondary rhinoplasty with placement of a costal cartilage rib graft to her bridge and tip. She also had a costal cartilage strut to support her tip. The photographs represent a one year postoperative result.