Preoperative Diagnosis: Unacceptable nasal appearance, microgenia.

Procedures: Open rhinoplasty with placement of spreader grafts, spreader grafts, columellar strut, hump reduction, radix graft with mucoperichondrium, septoplasty, turbinoplasty, tip refinement with cephalic trim and tip sutures, Restylane injection to chin and platelet gel application.

Comment: Her 2 year post-op photos reveal a natural, softer nose.