PLASTIC SURGERY HPIP NOTEPatient Name:Sandra GiffordsPatient ID:GIF-7431Age:29Sex: FPCP:Greg Farrow, FNPDate of Exam:07/20/----HISTORY:This 29-year old Caucasian female, new to the practice, is referred by Greg Farrow.She is here to discuss aesthetic rhinoplasty. Patient presents with complaints of trauma to thedorsum of her nose on the right side, which left her with a buckle or bump in the cartilage. Shealso has a mild hump and an initial impression of some drooping of her tip, she also has fullnessof the region, the upper lateral cartilages and the tip, which makes it appear somewhat wide. Shewas told she has a deviated septum. Her main interests are “making my nosenarrower” and“taking away the bump.”PHYSICAL EXAMINATION: Thepatient has some animated flaring of her nostrils, whichmakes them look prominent in the frontal view; and she appears to have some notching in thenostrils on the lateral view. On lateral, one sees the dorsal hump and the bump on the right sideas well as widening in the lower third of the central part of the nose. She notes no specific
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Fall '17
Plastic Surgery,Oral and maxillofacial surgery,Reconstructive surgery,Greg Farrow