







Rhinoplasty #282
Our beautiful 24-year-old patient is seen before and one year after rhinoplasty surgery. She had thick nasal skin and a broad, flat nasal appearance, with a retracted columella, a dorsal hump, and a droopy tip. Surgery provided narrowing of the upper, middle, and lower thirds of her nose on front view, along with hump reduction and a tip lift on profile. Her nostrils were narrowed, and we utilized an extended shield graft to achieve tip definition, as well as an extended columella strut graft to improve her retracted columella and add necessary tip support. The result is a natural, less distracting, and more feminine nasal appearance.