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#nasalvalvecollapse #nosetipdrop #nasalvalvesurgery #sleepapnea #revisionnosetipplasty #droppednosetip #nosetipdropafterrhinoplasty We performed revision nose type plasty + nasal valve surgery for the treatment of the patient who had sagging of the nasal tip, prominent nasal valve collapse on the left, nasal tip asymmetry and severe nasal obstruction after a previous rhinoplasty operation and nasal trauma. The nasal tip cartilage support tissue was reconstructed using rib cartilages. When viewed from the side, the tip of the nose is directed forward and slightly upwards; When viewed from the front, it is seen that the hollow area on the left nose wing has improved. At the same time, this operation was performed for the patient who was diagnosed with obstructive sleep apnea, in order to normalize the air he took from the nose and to treat the nasal congestion. Sometimes, when we had to choose between aesthetics and functionality, as in this patient, we performed an operation where we aimed more functionality. Although it is still more aesthetic than the previous one, the biggest positive effect will be on the patient's nose functions. In the preoperative photograph of the patient, ciliary cartilage collapsed into the left nostril and causing severe narrowing in the nasal valve region can be easily recognized. In patients with obstructive sleep apnea, the presence of nasal congestion may cause an increase in the number of apnea attacks during sleep and exacerbation of symptoms. https://www.ent-istanbul.com/2018/03/...