Female patient desiring narrowing of her nose on the frontal view, including her nostrils, and making her tip on profile "less sticking out and hanging so low".

Procedure: Open Rhinoplasty with lateral nasal sills, platelet gel.

Comment: Her 4 month postop photos show a narrower, but functional frontal view. Her profile reveals a deprojected and rotated nose. To deproject her nose, the ligaments between her nasal septum and tip cartilage were released. Tip narrowing sutures and a columellar strut helped rotate the nose.