Patient is a 33-year-old female with a long-standing desire for a more elegant and refined appearing nose. Specifically, she felt that her nose was too wide, her tip without definition, and that her nose was not harmonious with the rest of her facial features. Also, as she has aged, she thought that her nasolabial folds had become more prominent, and that she had lost some of the voluptuousness she possessed when she was younger. She wanted to look more beautiful.
Rhinoplasty with septoplasty and narrowing of the nasal bones with contouring of the nasal tip cartilages. Cartilage grafts were placed to better define the outlines of her nose (dorsal aesthetic lines), and to provide better tip projection. A fascial graft was placed at the radix (top of nasal dorsum between the eyebrows) to provide an aesthetic transition that appears more elegant. She also underwent fat transfer to her face for a total of 28cc, including lower eyes, nasolabial creases, cheekbones, jawline, chin and lips. She was delighted with the result.