Why do you think I will do such.

👍

💯🥰

👏

Yes it’s going to be and I will be there live.

Finally, in a third minor operation performed endonasally, microfat was injected along the dorsum to add more camouflage. He is now ten years postoperative with excellent nasal function and excellent contour with a smooth dorsum

In a second surgery, a sheet of perichondrium with microfat injected into the perichondrium (MISTA) was placed on the dorsum to try to thicken the dorsal skin.

graft were used to reconstruct his nasal tip. Costal perichondrium was placed over his nasal dorsum with microfat injections. He had a nice improvement but still had some dorsal irregularities due to the atrophic skin and subcutaneous scarring from the DCF.

He underwent secondary rhinoplasty with removal of the DCF and reconstruction using his own rib cartilage. Lateral crural replacement grafts with lateral crural strut grafts and a septal extension

He had a significant tip deformity and a cobblestone effect over his dorsum from a previously placed diced cartilage fascia graft (DCF). The skin over his nasal dorsum was extremely thin and atrophic.