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Primary

This patient's nasal tip is somewhat bulbous and the dorsal lines asymmetric. In profile, a hump is also evident here, partly real and partly "apparent," that is, accentuated by some depression at the root and some drooping of the tip. The patient desires a result with greater harmony in the proportions of the nose and above all "as natural as possible." This is a "refinement" rhinoplasty in which several corrections must be performed, however millimetric, with great precision. In this sense, it is evident how rhinoplasty is indeed 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 a correct computer simulation becomes fundamental, to be shared and discussed with the patient.

The dorsal lines have been improved.
The square tip has been triangularized. The access incision to the columella is minimally visible. The two incisions at the base of the nasal alae are also barely visible.
In the three-quarter views, the proportions between dorsum and tip have been corrected, without however a scooped dorsum. The pleasing proportions of the face are enhanced, with the dorsum now flowing elegantly into the tip.
The profile has been improved with reshaping of the tip, shortened and slightly rotated upward, in addition to minimal reduction of the hump.
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