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This 38-year-old female was displeased with the appearance of her nose as well as being unable to move air through her nose from an old nasal fracture. She underwent a Nasal Airway Reconstruction which involved a costochondral rib graft, multiple cartilage grafts, inferior turbinate reduction (right), repair of her old nasal fracture, and diced cartilage fascia graft to the nasal bridge.