Patient is an 18-year-old female who for many years had desired a more beautiful and feminine nose. She felt that her nose was crooked and too long, and did not like the dip where her nose starts at her forehead as it tends to make her look harsh. She thinks her nasal tip is too broad and hooks down when she smiles or laughs. She would like a nose that appears softer and straighter and naturally complements her other facial features.
Rhinoplasty with septoplasty with straightening of the nasal septum, mild reduction of nasal hump, and softening of nasal tip cartilages to increase definition and angularity. Overall nasal tip projection was reduced, but in a controlled fashion with cartilage grafts placed to maintain tip support. A fascial graft was placed in the radix (top of nose between eyebrows) to soften the forehead/nasal junction and visually shorten the nasal profile.