Correction of Short Nose Deformity Using a Septal Extension Graft Combined with a Derotation Graft
A 62-year-old woman presented with a severely contracted nose and columellar retraction. Previously, the patient had a silicone implant, which was removed at an outside clinic after chronic infection. A two-layer dissection, above and beneath the scar tissue, was performed for skin and alar cartilage elongation. A septal extension graft using septal cartilage was performed, along with a columellar strut, derotation graft, tip onlay, and shield graft harvested from the ear. A dermofat graft was used for dorsal augmentation between the skin and the scar tissue ().