Rhinoplasty in a man with a deviated nose and collapse of the external nasal valve: before and after
Case fact sheet
- Patient: Man
- Reason: functional and aesthetic
- Starting nose: Deviated nose, probably due to tension of the septum on the nasal roof, with a very narrow base and collapse of the external valve
- Technique: ultrasonic rhinoplasty structural: asymmetrical spacer grafts (spreader grafts), lateral osteotomies with piezoelectric (Piezotome), septal extension graft and lateral crura steal (lateral crural steal)
- Septum and turbinates: septoplasty and turbinates in the same surgery
- Approach: center the nose and open the external valve while maintaining masculine measurements and proportions
- Entry: 1 night
- Anesthesia: general type TIVA
- Duration: 3 hours long.
The man had a deviated nose, likely due to tension on the nasal roof of the nose, and a very narrow base with collapse of the external nasal valve. Using structural ultrasonic rhinoplasty, asymmetrical spacer grafts, and piezoelectric osteotomies, I centered the nose. At the tip, I performed a septal extension graft and lateral crura grafting to reinforce the tripod. The important thing was to maintain masculine proportions.
Their experience, in video
In his year-end review, he asked us to compare the result with the simulation we had done before operating.
Comment by Dr. Gustavo Sordo
Reason for consultation
It was due to the deviation of his nose and the way he was breathing.
What I observed when evaluating it
A deviated nose, probably due to tension of the septum on the structures of the nasal roof. At the tip, a very significant stenosis at the base, with collapse of the external nasal valve.
What was important to preserve
The masculine measurements: a straight and strong dorsum, without excessively rotating the tip or feminizing the nose.
My surgical approach
Structural rhinoplasty with asymmetric spacer grafts and ultrasound-assisted lateral osteotomies with the Piezotome for deviation, and at the tip a septal extension graft with lateral crura steal.
Why I chose this technique
This case demonstrates that structural rhinoplasty can also correct deviations, provided that asymmetrical spacer grafts are placed and precise lateral osteotomies are performed. Harvesting tissue from the lateral crura ( lateral crural graft ) allowed for reinforcement of the entire tip tripod structure and opening of the base.
What I did during surgery
I placed asymmetrical spacer grafts, performed lateral osteotomies with the Piezotome, a septal extension graft, and lateral crura grafting, leaving a very well-defined tip contour. In the same surgery, I performed the septoplasty and turbinate reduction.
What is observed in the result
A very functional and aesthetic nose, centered and with a well-achieved masculine appearance.
More cases of rhinoplasty in men and deviated septum . What the male nose looks like , and how I perform rhinoplasty in Madrid , on his website.
Case operated on by Dr. Gustavo Sordo
Specialist in Plastic, Aesthetic and Reconstructive Surgery. Member No. 282858125.
Regarding this intervention
The ultrasonic scalpel allows for more precise bone work and typically leaves less bruising. It truly makes a difference in ultrasonic rhinoplasty.
Do you want to know if this can be done in your case?
The first consultation is with Dr. Sordo, either at the Chamberí clinic or via video consultation. You'll leave knowing if you're a candidate, which technique is right for you, and how much it costs.
Dr. Gustavo Sordo · Member No. 282858125 · Plastic, Aesthetic and Reconstructive Surgery · Madrid