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Case 03 · Primary Rhinoplasty
A Severely Crooked, Obstructed Nose With Radix Augmentation
Patient Concern
This beautiful 27-year-old woman came to me with a severely crooked nose on frontal view and a major septal deviation. Her nose was functionally obstructed, with no consistent airflow on either side.
Dr. Okland’s Approach
I performed an open structural septorhinoplasty with a right septal extension graft; bilateral extended spreader grafts, with a wider graft on the right; a columellar strut; radix grafting; cartilage paste along the bridge; midvault cephalic-trim onlay grafts; and no osteotomies.
The Result · Seven Months
Her result is stunning, with subtle tip rotation and narrowing, a gorgeous whisper of a slope, and a functioning nose that breathes well. There is a dramatic improvement in frontal-view asymmetry, and she is significantly straighter.