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Excited to share before and after on the table photos of a complex revision rhinoplasty. The patient had a prior rhinoplasty with placement of a synthetic graft more than 10 years ago. She wanted a more enhanced, balanced aesthetic, without the use of synthetics. See the synthetic removed as well as the rib graft that was used to re-contour the nose. With the use of rib grafting material, we were able to achieve a better result that is natural and long lasting. I feel so blessed to be entrusted by my wonderful patients.