Patient is a 51-year-old female who desires a smaller and more feminine nose. She has thought about a rhinoplasty for years but had never felt comfortable with the previous consultations that she had. She has had long term difficulty breathing without a history of trauma. She specifically would like a nose with a more delicate and contoured tip, and a profile without the large over-projecting dorsal hump. She had researched many noses that she likes, and very much wants a rotated nasal tip that appears “perky”. Of course, she desires a natural appearing nose that she wishes she had been born with.
Procedure: Septorhinoplasty with reduction of dorsal hump, narrowing of nasal bones with placement of internal cartilage grafts to open and preserve her airway and create dorsal aesthetic lines. Her nasal tip was reduced through cartilage reduction and suture techniques, and her caudal septum was recontoured to allow appropriately desire rotation of her nasal tip. The aperature and flare of her nostril were adjusted to provide a well-balanced and natural appearing result. Photographs are approximately 3 months after surgery, and significantly improved definition and reduction of nasal size can be expected. She is very happy with her results, stating she wishes she had done her surgery decades ago, now breathing well and loving the way she looks.