The dorsum is wide and the tip is bulbous, almost “square” in shape. The aesthetic lines of the dorsum flare outward in a “parenthesis” pattern immediately below the root because the nasal bones are excessively wide. A depression is visible between the two tip cartilages (the domes). The profile is satisfactory, although weighed down by the size of the tip itself. In this case, the primary objective is to narrow both the dorsum—through multiple osteotomies (surgical fractures) of the nasal bones—and the tip, by resecting the excessive portions of the alar cartilages and reshaping the remaining segments. These are refinements of “precision work.”







