Patient is a 15-year-old female who has since she remembers desired a different appearing nose. She does not like the prominent hump on her nasal profile, nor does she like her broad nasal tip that lacks definition and angularity that plunges when she smiles. Multiple discussions with the patient and her mother resulted in a surgical plan that would enhance her nasal appearance while providing a natural result that maintained her ethnicity, which was very important to the entire family.
Procedure: Septorhinoplasty with reduction of nasal dorsal hump, contouring of nasal tip through cartilage reduction and suture techniques, and nostril reshaping to complement her new nose. Internal cartilage grafts were placed to ensure long-term patency of her rhinoplasty and to provide a substrate for soft-tissue contraction which aids in the production of desired angularity and shadows that produce a beautiful result. Photos are 3 months post-surgery, and further size reduction and definition can be anticipated over the next year. She loves her new nose.