A very complicated operation as this patient sustained massive nasal trauma that was originally managed by filler injections by another physician. Intra-operatively the structure of the nose was found to be severely compromised while being masked pre-operatively by the use of filler. Though she still maintains a mildly full appearance of the nose on frontal views post-operatively from both the nature of her trauma and the filler injections on her profile and three quarters view and excellent improvement of the overall shape of the nose has been obtained. (Of note patient has also had a facelift).
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