Patient is a 39-year-old male who had a long desired to have a more handsome and angular nose with better tip projection. He was bothered by his droopy nasal tip that he noticed in photographs that was accentuated with smiling. He felt that a a more narrow and shorter nose would better complement his facial features.
Rhinoplasty with narrowing of the nasal bones, suture contouring of the nasal tip cartilages, and placement of columellar strut to increase nasal tip projection and support. He was delighted with the subtle but profound changes in his nose both at rest and when smiling.