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Page 10 of 14 Patel et al. Plast Aesthet Res 2024;11:20 https://dx.doi.org/10.20517/2347-9264.2024.17

Figure 12. Pre- and 1-year postoperative images are shown here for a patient undergoing a major aesthetic revision rhinoplasty for a
short nose. She had a prior cadaveric rib onlay graft and alar batten grafts in place that were removed. She also had significant collapse
of nasal bones. Autologous rib was used to create bilateral spreader grafts and to perform an anterior septal reconstruction. Dorsal
augmentation was done with diced rib-fibrin glue. Articulated rim grafts were placed along with a right composite graft to address alar
retraction.

Figure 13. Pre- and 8-month postoperative images are shown here for a patient undergoing a major aesthetic revision rhinoplasty for a
short nose. Autologous rib was used to create a right spreader graft and to perform an anterior septal reconstruction. Lateral crural
struts were used to recreate/ reposition the ala. Dorsal augmentation was done with diced rib-fibrin glue.

Figure 14. Pre- and 15-month postoperative images are shown here for a patient undergoing a major aesthetic revision rhinoplasty for a
short nose. Autologous rib was used to create bilateral mini-spreader grafts and a septal extension graft. Dorsal augmentation was
done with diced rib-fibrin glue and temporalis fascia was applied to the nasal tip.