Dr Ricardo Bartel

Immediate Post-Op Transformation: Primary Rhinoplasty

​This case required strategic structural modification to address a long nose and a severely hanging columella.

​Surgical Approach:
​Length Reduction: Septal caudal resection to shorten the nasal length and optimize the nasolabial angle.

​Columellar Correction: Tongue-in-groove technique and medial crural repositioning to tuck the hanging columella and establish a stable, balanced profile.

​Immediate on-table results show a refined, proportioned tip-to-lip relationship while maintaining structural integrity and airway patency.

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