fig3

Figure 3. Typical development of postoperative contracted nose deformity. (A) Initial presentation with recurrent nasal swelling after rhinoplasty with dorsal silicone implant and rib cartilage tip grafts; (B) Persistent infection despite incision and drainage, irrigation, and antibiotic therapy; (C) Incision and drainage with removal of infected, necrotic rib cartilage grafts via nasal exploration; (D) Frontal view one year after nasal exploration showing residual tip skin dimpling; (E) Right oblique view one year post-exploration demonstrating a low dorsum, cephalic tip rotation, and increased nostril show.