Immediate postop results are shown in this transgender patient who underwent a revision rhinoplasty to further feminize the tip with a softer definition. This involved multiple revisions of the tip cartilage including tip deprojection, with soft tissue grafting as well as MTF (cadaver) cartilage grafting. The remainder of the nose was also reinforced with MTF cartilage grafting, which was used for spreader grafts as well as alar contour grafts. and a columellar strut. Though there’s significant swelling, please note the overall improvement in nose contour and definition at the tip.