This is a patient who was interested in rhinoplasty (nose reshaping) surgery. I performed an open rhinoplasty (where the structures of the nose are visualized for maximum accuracy). I filed down the bony hump and shaved off some of the dorsal cartilage. I also trimmed some of the tip cartilage to refine the tip and used fine sutures internally to narrow the tip as well. Much of the cartilage that I removed was replaced as internal grafts to stabilize and improve the shape of the nose and the nasal tip, and to improve the patient's breathing.
(Dec 12, 2012)