Patient is a 20-year old female who has been employed as a runway model for the last years. She is of German dissent, and has desired a softer and more attractive nose since she was in middle-school. She feels that she would like to get more into print and possibly acting, but feels that her nasal appearance restricts her options. As with every patient, I took photographs of the patient’s nose and imaged what I thought I could produce in her best interest, and had her bring in photographs of what the patient thought were beautiful noses. We evaluated what she was looking for and came up with a plan that incorporated what she desired.
Procedure: Septorhinoplasty with placement of a fascial graft to the nasal radix (from the right scalp) to elevate the point where the nose started to make the nose appear shorter and more feminine. The nasal dorsal bump was softened, and the nasal bones were narrowed to produce elegant dorsal aesthetic lines. The nasal tip was narrowed, shortened and rotated through cartilage removal and suture techniques, and the new tip position was strengthened with cartilage grafts from the septum. Lastly, to make the nostrils appear more symmetric, the right nostril was both shortened and flare reduced to complete the nasal surgery. She is elated with her surgical results with greatly enhanced confidence, opening up long-term career options.