This is a 33-year-old mother of 2 presenting with difficulty breathing through her nose and requesting to improve the contour of the nose. On examination there is a dorsal hump, wide bony base, over projected, bifid tip. Here we work to bring the nose in proportion to the rest of the face with an open septo-rhinoplasty. The images are before and 3 months post op and contour can be expected to improve further over the next year. The patient underwent dorsal hump reduction, osteotomies, cephalic trim, and tip suturing techniques to refine the tip. The septum is also addressed to improve functional aspect of the nasal airway and improve breathing. The overall result demonstrates a more balanced appearance to the facial shape. In rhinoplasty form and function are improved to create a more harmonious facial aesthetic.
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