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Outcomes one year after rhinoplasty. Saddle nose. Reconstruction of the keystone region with L-shaped costal cartilage fixed to nasal bones and anterior nasal spine, bilateral spreader grafts, costal graft of 30 × 8 mm wrapped in muscular fascia in nasal dorsum. Septal extension and alar rim graft. Paramedian, transverse, and lateral osteotomy. Before (A) and after (B) pictures in lateral view. Before (C) and after (D) pictures in frontal view.
