Patient is a 30-year-old male who had a previous septoplasty for septal deviation from an old nasal injury. Currently he has trouble breathing and does not like that his nose appears crooked from the front, and lacks a smooth profile with very poor tip definition. He desires a more handsome and refined nose that appears straight with more angularity.
Rhinoplasty with septoplasty, reduction of dorsal hump and straightening of nasal bones, and placement of cartilage grafts to lengthen and define the nasal tip. Patient was able to breathe well, and was delighted with the appearance of his new nose, and the fact that others could not specifically decipher what was different about his face.