Patient is a 23-year-old female with a very astute aesthetic eye. She has studied many noses and would like a more angular and defined nasal tip with slight decrease of her nasal projection. Should desires slight rotation of her nasal tip to appear a bit more feminine, with reduction of some of the tip wideness, and proportional adjustment of her nasal bones and dorsal aesthetic lines. She also requested more definition and angularity of her cheekbones, as she has always had a bit of a full face, especially as a young child. Lastly, she would like to have a more angular and defined jawline and chin that would complement her other proposed angular facial features.
Procedure: Septorhinoplasty with small reduction of nasal dorsum, narrowing of nasal bones and refinement of the nasal tip through suture and cartilaginous reduction techniques. The projection of her nose was increased with internal cartilage grafts, imparting the appearance of more angularity that she desired. Bilateral buccal fat pads were removed to increase the definition of her cheekbones, and a chin augmentation was performed with placement of a medium extended anatomic chin implant with 100cc of liposuction of the neck and jawline. Fat harvested was utilized for lip augmentation as a total of 4cc of fat transfer to the upper and lower lips to complete her result. Photos are approximately 6 months post surgery and she is extremely happy with her results.