Chief Complaint

The patient is a world-class masters swimmer who presented in her mid-30’s. Her main desire was to reduce the slight dorsal hump and to refine her nasal tip. She had no breathing difficulties

Assessment

The patient had a boxy, flat nasal tip with wide lower lateral cartilages leading to an amorphous contour. The profile was 3-millimeters too high. Her nose slightly deviated to the right. There was adequate tip support and no evidence of breathing difficulty.

Procedure

Under general anesthesia, in a certified outpatient surgical center, the patient had an open rhinoplasty. The procedure began by making a small incision underneath the nose and then lifting the skin up to reveal the nasal structure. This was followed by reduction of her boney and cartilaginous dorsal (profile) hump and nasal tip refinement.

This was accomplished by reducing the width of the tip cartilages and then suturing them together with an inter-domal suture to further refine and support the tip. This will allow the nose to age well and look great for many years.