This lady’s concerns were a dorsal nasal hump, a deviation of her nose and a bulky tip which had been bothering her for a long time. In addition to this she suffered the functional problem of having to breathe through her mouth both at night and when eating.
At operation the dorsal hump was removed, nasal bones brought in, bulky cartilages trimmed, tip excess soft tissue removed, the deviated septum straightened and spreader grafts used to maintain this and support the internal nasal valves. The tip secured to this and refined with fine onlay grafts.