Figure 17.

A 33-year-old male with internal nasal valve collapse (arrow) (a). Spreader grafts and a columellar strut were carved from 7th costal cartilage (b,c). Intraoperative placement of spreader grafts and its pictorial representation showing their relationship with nasal dorsum (d,e). The hump was also rasped. Three-month postoperative pictures show no warping (f). At 2 years 5 months (g), the edema has settled, nasal dorsum is straight, not too wide, and there is good definition of the tip