Patient Photos

Wegener's Granulomatosis (Granulomatosis with Polyangiitis) Saddle Nose Deformity Repair

This patient had longstanding Granulomatosis with Polyangiitis (GPA) that was well controlled thanks to the care of her rheumatologist. GPA was formerly known as Wegener's Granulomatosis and causes blood vessel inflammation which leads to destruction of the nasal cartilage. Once this patient's disease was stable her rheumatologist cleared the patient to have reconstructive rhinoplasty to rebuild her external nose where it had collapsed due to the loss of cartilage support. Thomas Lamperti, MD performed an open rhinoplasty and used some of the patient's own rib cartilage to rebuild her bridge and to bring her upturned tip back down closer to its original position. In the 1 year after photos you can see how the patient has a much smoother profile line with correction of the saddle nose. You can also see how her tip has been counter-rotated and isn't as upturned anymore.