Fig. 4.

Class 2 level complexity of revision. This patient presented with a pollybeak deformity caused by residual dorsal hump and tip ptosis. She underwent a completion rhinoplasty with dorsal hump reduction, columellar strut graft placement, and cephalic trim of the lower lateral cartilages with suture modification utilizing a lateral crural steal technique. Revision osteotomies were also performed. (The images are provided courtesy of Fred J. Bressler, MD.)