Female patient with a crooked nose and deviated tip. She also desired the refinement of her tip and the alignment of her profile view. The crooked and deviated tip is a very challenging feature to improve upon in rhinoplasty. Intra-operative maneuvers entailed the asymmetric placement of spreader grafts and a clocking suture technique. Hump reduction and tip refinements were also made. Seen here in her post-operative photos are a significant improvement in her nasal tip deviation and the other refinements made to the nose including the reduction of the hump on the profile view.






















































































































































































































