Patient is a 36-year-old female who presented for consultation after having had 2 previous rhinoplasties by another surgeon about 10 years ago. She is very self-conscious about her over-projecting nose, bulbous nasal tip, and is worried that people can see inside her nose. She desires a softer and more elegant nose that better complements and enhances her facial features.
Procedure: Revision rhinoplasty with placement of cadaveric cartilage graft as support and fulcrum for reshaping the previous rhinoplasty. The nasal dorsum was reduced, and the over-projecting tip was reduced and contoured. The nasal tip was de-rotated to be more aesthetic, and nostrils were lowered and reduced to look more elegant. Photographs are 4 months after surgery, and further refinement can be expected. She is delighted with her result.