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Primary

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.

The tip has been narrowed with a harmonic triangle. The scar is virtually invisible, as in the vast majority of cases where open rhinoplasty is performed correctly.
In the three-quarter views, the proportions between dorsum and tip have been corrected, without however a hollowed and "surgical" dorsum. The dorsum flows harmoniously into the tip.
In the profile, the tip has been slightly elevated, the dorsum lowered while leaving it slightly high, and the nasal root has been filled with a fascia graft. The result is a natural and elegant profile, with minimal "movement" to the dorsum and a slightly defined tip (the "supratip break") relative to the dorsum.
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