fig10

Figure 10. Pre- and 2.5-year postoperative images are shown here for a patient undergoing a major functional revision rhinoplasty. The patient had evidence of prior septoplasty and had significant resection of all cartilage resulting in a short nose. Autologous rib was used to create bilateral spreader grafts, an anterior septal reconstruction graft, and lateral crural struts to recreate/reposition the ala. Dorsal augmentation was done with diced rib-fibrin glue.