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This wonderful woman underwent a reconstructive and aesthetic rhinoplasty with me. She had a prior septoplasty elsewhere that failed to correct her breathing problems, and also led to a deformity. The prior surgery resulted in an over aggressive removal of the “caudal” (lowest) part of the septum. As a result, her nose had a tip collapse that accentuated a dorsal hump. She needed a rib graft to correct the deformity. It’s not just about having a good looking nose, but one that works well too. Fixing the breathing issues also improved her nasal aesthetic.