Before and after primary rhinoplasty for a patient who desired to reduce the length of her profile and refine her tip. She desired to reduce her hump and the droopy appearance of her tip on the profile view. Primary rhinoplasty techniques included hump reduction, bilateral osteotomies, bilateral spreader grafts, septal extension graft, and alar rim grafts. The columella was lengthened to improve the tip angle and the relationship between the alae and the columella. Prior to surgery she had what is referred to as a “hidden columella” where the nostrils hang below the level of the columella on the profile view. By lengthening the columella, the relation of the columella and the nostrils is improved which also addresses her concern of a droopy tip.
Seen here are her 10 month follow up photos.