This young individual had a very strong nasal shape with accentuated sharpness, corrected with rhinoplasty. We have reduced the hump, opened or rotated the tip, and reduced the sharp lines over the bridge.       A young individual, with wonderful features, was unhappy with her nose. She has a large hump and her nose points down. The nose was shaped with Rhinoplasty. Correction is produced by slight reduction of the hump, and support and shaping of the tip with a graft. The tip is now open and gracefully above the bridge. Very soft and nice.       Nasal length can be an issue, as in this individual. Her tip projects down over the upper lip where there is no hump at all. The tip has been lifted and supported with grafts using an "open rhinoplasty" technique. Now, she is seen with a wonderful profile, pretty lip and smile, out from under the shadow of the nose.       Strong nasal features with heavy facial balance. Her rhinoplasty has produced the softening she desired by reducing the bridge of the nose and shaping the tip to project nicely above the bridge. The nose was narrowed. As a result, she appears thinner.       Outgoing and confident, this individual never liked the hump. She is right in that the nose is thin and the tip delicate with a great long upper lip. Her rhinoplasty was focused on a neutral or "straight" bridge, simple and pretty.       Her feeling was that the nose was heavy and plain. Actually, her skin is thick which hides the shape. Rhinoplasty reduced the bridge and the tip shape was defined with grafts. The nostril was reduced to balance the new shape with a "Weir" excision.       A slender nose is seen in an individual with wonderful features. She can tell us her nose is too big, yet we can see the high bridge between her eyes, with a tip that projects too much: it is sharp and appears long from the front, though it really is not (shadow on her upper lip). We have corrected her nose by reducing the bridge starting up high, and the tip cartilages were shaped to reduce the projection, no grafts here. The tip is thin and rotated, elegant without the lip shadow.       This patient is a very pretty girl who just doesn't like her nose. Difficult for her to say what she doesn't like, it's just not a favorite feature. The artistry is in the softening and balance. She doesn't need to look like she had rhinoplasty, and shouldn't! Through a closed technique, we carefully reduced the minimal hump, shaped and rotated the defining points of the tip up and over to project gracefully above the dorsum, and a gentle fracture. We love her balance and beauty. She is a wonderful young lady as well.       Thin and sharp facial features, similar nasal characteristics, have this patient concerned with a too large nose and the hated bump. Her nose is over projecting from her face, highlighting the sharpness. With rhinoplasty, the hump is gone and tip projection has been reduced, without losing the very nice definition point of the tip above the line of the bridge for a just right look.       This young patient has a very nice nose to start, however she perceived a hump where none was present. We shaped her nose with a rhinoplasty that produced a very soft curve to the bridge, lifting the tip slightly and reducing the sharpness or rounding the tip, overall a more feminine effect.       The nasal shape in this attractive individual shows a hump which she doesn't like and a very thin bridge. On her profile, we noticed the low "radix" a term which describes the low bridge up between the eyes and causes the hump to appear bigger that it actually is. Indeed, we reduced the hump very slightly, raised the radix and grafted the bridge to give us the width seen. Of course, the tip was rotated and shaped around the new bridge to give her the very classic and elegant features seen.       Again, no hump, just convexity and kind of masculine look that can be improved by rhinoplasty. It is our good luck to have such a pretty face to start with. We made the bridge concave and the over projected tip now has rotated and moved gracefully above the bridge. Little changes add up to a nose that is just right.       When we think of rhinoplasty, this is the type of nose that comes to mind. Certainly, a very pretty individual with or without nasal shaping; however, the hump was "the" issue. We completed a closed technique rhinoplasty, reduced the hump fracture to narrow, shaped the tip cartilage to rotate and rise above our new bridge, and reduced projection at the base of the nose. Did you notice how this added length to her upper lip?       Men enjoy rhinoplasty. This individual felt the shape of his nose was too strong. Here with closed technique rhinoplasty, we have made the bridge very straight. Normally, a 90 degree angle between the tip of the nose and lip are quite masculine, though here too much so. We shortened the nose slightly in appearance by grafting the base of the nose. Note, the upper lip has lengthened too in response and results have better balance.       The individual here felt her nose was too large. We agree, though a large nose is often not the case in rhinoplasty. The bridge, or hump, was reduced and shortened to open the angle between lip and nose to a more feminine proportion. Fracture controlled our nasal width and finally a "Weir" excision, reducing the nostril size, has indeed produced her smaller nose.       This individual was concerned with the width of her nose and the hump, yet not interested in looking too different. We completed a rhinoplasty to remove the hump, nasal fracture to narrow, and a tip graft broaden the tip on her frontal view.       This patient has special issues not seen on many individuals. She has a very broad and flaring nasal tip, with a nasal bridge which is quite Norman in proportion. Tip rhinoplasty was used to shape the lower cartilages and bring the tip of the nose back in balance with the creation of a pleasing whole.       We often think of nasal humps in rhinoplasty, though sometimes the issues are not a hump at all. This young lady had a large, broad nose which unfairly impacted her face. The columella, or area between the nostril, is retracted and the nose appears flat across the bottom, and the tip is indeed huge. An open technique rhinoplasty was employed with careful shaping of the tip, a graft in the columella and fracture to narrow the nose.       This patient has seen us for a secondary rhinoplasty. Her first procedure was a year ago and her concerns are that the hump that has come back. Secondary rhinoplasty is not an uncommon procedure, as the subtleties of nasal shape can be hard to appreciate. Her prior surgeon used an open approach rhinoplasty with a tip graft and what we see here is called a "supratip" after rhinoplasty. It can have many causes some of which are under projection of the tip, over reduction or under reduction of the bridge of the nose. Everything must balance. We corrected this situation with further reduction of the bridge. Balance has been restored and the bottom heavy look is now gone in a happy patient.       This young patient has never had a nasal fracture, though the nose had a saddle in the middle and is twisted.   Note, that the tip is somewhat low with a neutral proportion from tip to lip angle, and the columella retracted up under the tip. We completed rhinoplasty with reduction of the hump, and a graft to the bridge to bring up the saddle. The tip was shaped and rotated bringing the columella into view, the tip now just above the new dorsal profile. Balanced, proportioned and beautiful.