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| Resolve breathing and structural issues with revision rhinoplasty "Previous rhinoplasty or trauma can cause deformities and breathing problems. These issues can be corrected so that you can enjoy an excellent look and optimum function." Dr. Cassileth uses a number of procedures to correct deformities caused by previous rhinoplasty or trauma. Common types of revision rhinoplasty and their solutions include: Breathing problems due to nasal collapse — A lack of cartilage support may cause your airway to collapses when you breathe in. Dr. Cassileth can use small cartilage grafts called "spreader grafts" to help strengthen your inner nasal passages (the "roof" of your nose) and resolve this collapse. Overresected dorsum — A cute "ski-slope" nose used to be popular, but many now dislike this because it has an obvious, surgically-enhanced appearance. Dr. Cassileth can add cartilage to the nose to create a more proportioned and natural look for you. Hanging columella — Many noses have a hanging columella, or low cartilage in-between the nostrils. Dr. Cassileth can determine the source of the issue (septal cartilage that pushes down or excess skin in the area), and take appropriate steps to correct it. Alar retraction — If the lower cartilage of the nose is overly trimmed, the rim of the nose may retract, making the inside of the nose more visible. Dr. Cassileth can correct this by placing small cartilage grafts into the nostril rim, or by taking skin and cartilage form the ear to fill the area. |