This young lady is shown 5 months after undergoing a Rhinoplasty, where about 80% of the swelling has improved. She underwent hump reduction, tip deprojection, and overall tip refinement, with the overall goal of maintaining a natural result. Key maneuvers in this patient included a component hump reduction, angulated caudal septal trim, tip deprojection, spreader grafts, extended alar contour grafts, and a soft tissue tip graft with mastoid fascia. The multiple cartilage grafts were used to help provide long-term stability and structure to maintain the aesthetic and functional goals. Since cartilage grows your whole life, and since the nose is about 2/3 cartilage, the nose can undergo changes after a Rhinoplasty over the years which underscores the absolute necessity of extensive cartilage grafting to maintain the finished result as much as possible over the years.. Also note the near invisible scar in the "worm's eye" view (view looking up the nose from below) -- this tiny incision used in an open rhinoplasty heals very well...