Question:  A 42 year old female comes to your office desiring revision rhinoplasty.  She describes having an operation several years prior and shows you preoperative photographs.  Her preoperative profile view showed under-rotation of the tip and a dorsal hump.  She now states that her columella is excessive and that her nostrils are not shaped "normally".  What maneuver performed at her original operation may be responsible for her current complaints?  [Answer will be posted with next week's new question]

Answer to last week's question, "To Treat or Not To Treat" (March 20, 2017)

Facial nerve schwannoma.  Active observation with serial MRI, given his normal facial nerve function.