fig12

Figure 12. Pre- and 1-year postoperative images are shown here for a patient undergoing a major aesthetic revision rhinoplasty for a short nose. She had a prior cadaveric rib onlay graft and alar batten grafts in place that were removed. She also had significant collapse of nasal bones. Autologous rib was used to create bilateral spreader grafts and to perform an anterior septal reconstruction. Dorsal augmentation was done with diced rib-fibrin glue. Articulated rim grafts were placed along with a right composite graft to address alar retraction.