Female patient desiring softening of her nasal tip. She has had a septoplasty in the past but no cosmetic work.

Procedure: Open Rhinoplasty with revision septoplasty, ear cartilage graft, and deep temporalis fascia graft. Spreader grafts, medial cartilage overlay, lateral crural strut grafts, columellar strut and nasal hump reduction were performed.

Other procedures: upper and lower (fat repositioning) blepharoplasty with peri-orbital erbium laser resurfacing.

Comment: Her post-operative photos reveal a softer, more balanced nose.