Patient is a 19-year-old Hispanic female who desires a more elegant and feminine nose. She feels that she has her father’s nose and that it does not complement her facial features well. She dislikes the bump on her dorsum, along with her nasal tip that seems bulbous, lacks definition, and goes down when she smiles. She would like a smaller, more defined nose that appears more refined.
Procedure: Septorhinoplasty with straightening of her nasal septum and nasal bones, reduction of dorsal hump, and softening of nasal tip through cartilage reduction and suture techniques. Nasal support was imparted with placement of internal cartilage grafts to create angularity of her nasal tip, and a fascial graft was placed at the top of her nose to create a more feminine profile that complements her structural changes. This patient presented with the classical components of a Hispanic nose that most often has a dorsal hump, a nasal tip that lacks definition and support, often plunging when smiling. She was ecstatic with her result and stated that she felt beautiful for the first time in her life. Photos were taken before surgery and approximately 3 months post-surgery. Further definition and refinement can be expected over the next year.