Rhinoplasty Before and after photos in Miami, FL, Patient 492

Patient who desired an overall thinner nose from the front and tip elevation on the profile view. Challenging case with very wide nasal bones and tip cartilages with thick nasal skin. Primary open rhinoplasty techniques included both medial and lateral osteotomies for maximal nasal bone narrowing. The tip cartilages were repositioned with placement of lateral crural strut grafts and tip onlay grafts. The tip cartilages were re-oriented to provide for narrowing of the tip while preserving a natural tip appearance given the orginal ultra wide tip cartilage orientation. Base view of the nose shows the boxy tip cartilage prior to surgery. Tip support with caudal septal extension graft. She is seen 6 months post-op.