This patient's nasal tip is somewhat bulbous and the dorsal lines are asymmetric. In the profile, a hump is also evident here, partly real and partly "apparent," meaning accentuated by some depression at the root and some tip drooping. The patient desires a result with greater harmony in the nasal proportions and above all "as natural as possible." This is a "refinement" rhinoplasty requiring several corrections, albeit millimetric, with great precision. In this sense, it is evident how rhinoplasty is truly to be considered the most difficult procedure in aesthetic surgery. Obviously, personal preference plays a major role in deciding the dorsal height and the degree of tip "definition," and therefore correct computer simulation becomes fundamental, to be shared and discussed with the patient.





