Patient is a 19-year-old female who desired a more elegant nose that would better complement her facial features. Specifically, she felt that her nose appeared masculine and wanted to address the dorsal hump and over-projecting nasal tip that drooped when she smiled. She disliked her nasal tip and was looking for better definition, but wanted her nose to appear natural and unoperated on. Her desires were communicated through pre-operative imaging and a portfolio of noses from magazines that she deemed attractive.
Septorhinoplasty with reduction of dorsal hump, narrowing of nasal bones, and contouring of the nasal tip through cartilage reduction and suture techniques. A small tip graft was placed to improve tip definition. She is 6 months post-surgery with appropriate swelling in the supra-tip region, and can expect significantly improved definition of the nasal tip over the next six months. She also underwent autogenous fat transfer to the lips for a total of 5cc, with permanently improved lip volume and contour that beautifully complements her facial features.