"Third Time's A Charm"

by Dr. Ramtin Kassir, M.D., F.A.C.S. | June 10, 2019, 5:17 p.m.

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Our lovely patient shares had 2 previous Rhinoplasties done and is satisfied now by getting the results she needed by coming to the one and only!


One of the most common issues for patients seeking revision rhinoplasty is the Inverted-V deformity. 
The inverted V deformity is a complication of taking too much off the bridge in Rhinoplasty but can also be caused by trauma to the nose. It may also cause breathing problems with internal nasal valve collapse. It is a sign that the middle vault of the nose has collapsed inwards.

Other complications include Alar retraction:
Alar retraction is one of the most common complications of primary and secondary rhinoplasty. It happens when too much of the tip cartilages have been removed. It causes nostrils to retract and create more nostril show that is abnormal looking. 

Spreader Grafts for Correction:
So rhinoplasty patients who have a depressed or collapsed upper lateral cartilage, or narrowed middle vault, a spreader graft is used to create more width for esthetic and functional purposes. In many cases, this helps to restore a more pleasing brow-tip aesthetic line.