Procedure: Rhinoplasty

Surgeon: Dr. Batniji

Location: Newport Beach, Minutes From Costa Mesa California

Procedure Detail: This 29 year old female presented to Dr. Batniji in consultation for a rhinoplasty. She was interested in refinement of the nasal tip and removal of a bump along the bridge of the nose. As well, the patient, who is of Italian ethnicity, wanted a result that would be appropriate for her ethnicity and complement her facial features. Dr. Batniji performed the following:

• Septoplasty via a left sided hemitransfixion incision to correct the deviated septum and harvest septal cartilage for use in rhinoplasty -Rhinoplasty via an external approach -Dorsal hump reduction (profileplasty) with a rasp for subtle refinement of the bony nasal dorsum. Cartilaginous dorsal hump was removed. The upper lateral cartilages were preserved to further maintain the integrity of the middle nasal vault and internal nasal valve.
• The internal nasal valves were reconstructed to not only maintain the nasal airway, but also to improve upon its function. Spreader grafts were placed on both sides. Since the right middle nasal vault demonstrated a convexity, a thick spreader graft was placed on the right side to address this convexity, thus providing a more harmonious shape to the middle nasal vault.
• In an effort to achieve tip refinement, Dr. Batniji performed cephalic margin trim to address the broad width of the cartilages. Then, Dr. Batniji performed interdomal, transdomal and tip position sutures to further refine the nasal tip shape. Finally, Dr. Batniji placed a tip graft that was obtained from the previously harvested septal cartilage; he crushed/softened the edges of the graft so that it appears natural without sharpe edes.
• Lateral osteotomies to close an open roof deformity.