Correction of a high deviated nasal septum often requires the placement of a spreader graft to straighten the dorsum. Rib grafts allow an ample amount of sold cartilage to keep the deviated nasal septum straight and buttress the internal nasal valve. When these maneuvers are performed, they improve the airway as well as improve the aesthetic contours of the nose. Tip defining sutures and lateral crural strut grafts can help provide improved tip definition.
Typically, the rhinoplasty consultation takes two sessions to make sure that the surgeon and the patient are on the same page with regard to the correct aesthetic look. I routinely ask patients to bring in photographs of noses that they like so that we can try to match as closely as possible their desired aesthetic look.
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