Extracorporeal rhinoseptoplasty in a nose deviated by trauma: before and after
Case fact sheet
- Patient: Female, 46 years old
- Reason: nose severely deviated due to an old trauma
- Starting nose: very severe deviation, with the septum bent completely to one side and the nasal bones deviated with it; hump on the bridge and drooping tip
- Technique: Extracorporeal rhinoseptoplasty: the septum is removed whole, corrected on the operating table and reattached straight; structural rhinoplasty with ultrasonic instrumentation for the bones and spacer grafts (spreader grafts) on the back
- Septum and turbinates: extracorporeal septoplasty and turbinate reduction in the same surgery
- Approach: to salvage the existing septum, corrected instead of replacing it, and to straighten both the cartilage and the bone.
- Result: 11 months after the operation
- Entry: 1 night
- Anesthesia: general type TIVA
- Duration: 3 hours long.
A severely deviated nose due to an old injury, with the septum completely bent to one side and the bones pulled along with it. Extracorporeal rhinoseptoplasty: the septum is removed, straightened on a table, and repositioned, and the bones are corrected using ultrasound.
Photos taken eleven months after the operation
The "after" photos are from her eleven-month check-up, the last photo shoot of her, with the same views as before the surgery. The change is most noticeable from the front and from below: her nose is now centered on her face.
Comment by Dr. Gustavo Sordo
Reason for consultation
He had a nose badly damaged by an old trauma, with a very severe deviation that required a complete solution, not just a simple touch-up.
What I observed when evaluating it
The septum was completely bent to one side, and this deviation was also pulling the nasal bones along with it. It wasn't a case that could be resolved by preserving the cartilage as it was.
What was important to preserve
The septum itself. Although badly damaged, it was still the best material for rebuilding the support of the nose: the goal was to salvage and correct it, not replace it.
My surgical approach
An extracorporeal rhinoseptoplasty, combined with a structural ultrasonic rhinoplasty to correct deviated bones.
Why I chose this technique
In these cases, the key lies in the septal cartilage: if a septum that's completely bent to one side isn't corrected, a straight nose will never be achieved, no matter how much work is done on the bone. That's why it has to be removed, corrected on a table, and then reattached straight.
What I did during surgery
I removed the entire septum, as in any extracorporeal rhinoplasty, reshaped and corrected it on the operating table until it was straight, and then reattached it to the nose. Using ultrasonic instrumentation, I corrected the deviated bones; spreader grafts were placed on the dorsum. Turbinates were also addressed in the same surgery. General anesthesia (TIVA) was used; the procedure lasted three hours, and the patient was admitted overnight.
What is observed in the result
At eleven months, the nose is straight and centered, something only possible when the septum cartilage is thoroughly corrected, not just the bone. In profile, the bridge is straight, without the hump it had.
More cases of deviated septum and an explanation of the technique can be found on the rhinoplasty page in Madrid. What to do about a nose deviated by a blow is explained in the guide on nasal trauma.
Case operated on by Dr. Gustavo Sordo
Specialist in Plastic, Aesthetic and Reconstructive Surgery. Member No. 282858125.
Regarding this intervention
Each nose is planned from scratch: what worked for this person may not work for you. At Rhinoplasty in Madrid , we explain how the technique is chosen and what the price includes.
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