Patient is a 24-year-old female that desires a more elegant nose. Specifically she is bothered by the bump on her nasal profile that makes her nose masculine and too long. She would like to address the cartilage cleft between her nostrils that is crooked and hangs down in photos and makes her upper lip appear too short. She would like a more refined appearing nose that better complements her facial features. Simultaneously she would like to address the hollowness beneath her eyes and along her midface that appear as shadows in photographs, making her appear tired when she is not.
Procedure: Septorhinoplasty with straightening of deviated nasal septum, reduction of nasal hump and narrowing of nasal bones and dorsal cartilages to create appropriate dorsal aesthetic lines. Her tip cartilages were contoured through suture techniques and an internal cartilage graft was placed to maintain long-term tip projection. The left nostril was reduced after the caudal septum was straightened, giving a very natural and beautiful result. She also had 5 cc of fat transferred to the lower eyes, 7cc fat transferred to the midface, both from abdominal donor site. Photographs are 5 months post-surgery. She was absolutely delighted with her results.