Supplemental Figure 1. (A, C, E) This 30-year-old woman underwent primary
rhinoplasty in Brazil 2 years before presentation. Clinical analysis revealed
overresection of the dorsum, requiring 3 layers of cartilage grafts from the septum and
concha and a temporal fascia graft to conceal potential irregularities. In addition,
spreader grafts and a columellar strut were placed. Bilateral alar base resections were
performed, and a right alar rim graft was placed. (B, D, F) The patient 16 months after
secondary rhinoplasty.
Supplemental Figure 2. (A, C, E) This 26-year-old woman presented with an
inverted V deformity and a droopy tip with excessive columellar show. Two years
after her primary procedure, she underwent secondary septorhinoplasty by the open
approach with spreader grafts and osteotomies. The nasal tip was elevated by means
of a columellar strut and tip graft. (B, D, F) The patient 12 months postoperatively.