VI. SPECIFIC COSMETIC REQUESTS

VI.A. The Nasal Hump

Patients often request correction of their "nasal bump." These patients typically desire a conservative profile change, creating a nose that is in harmony with the rest of their facial features (Fig. 28).

VI.B. The Bulbous Tip

A tip that is too big or too full draws attention to itself and may detract from the patient's appearance. Many patients request refinement of the bulbous nasal tip so that it is proportional to the rest of their nose and their face (Fig. 22). A variety of different techniques may be used to address a bulbous nasal tip.

FIGURE 26. Plumping grafts can be a helpful technique if the junction of the nose to the upper lip is retracted or "acute." This may be modified by placing "plumping" grafts (a-c).

FIGURE 27. Base resection can be a helpful technique to narrow the nose in specific anatomic situations. (a) Preoperative, (b) post-operative.

FIGURE 28. The nasal hump (a) preoperative, (b) postoperative.

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