• an open rhinoplasty approach gives superior access and visualization for complex septal, middle vault, and nasal tip reconstruction

  • reconstructive septorhinoplasty for congenital (cleft) nasal deformity - here showing autologous nasal septal cartilage as grafting material for external nasal valve reconstruction

  • after closing the external nose/columellar incision, small telfa packing coated with ointment is put inside of each nostril, and tied together in the front with black strings (the day after surgery, this packing is removed at home by the patient--it should just "slip out" and is not painful)

  • end op photo after open septorhinoplasty (and alar base reduction) - tape and a cast are applied to the outside of the nose -- these and the columellar sutures are left in place for a week, when they will be removed by your surgeon or her team in the office)