I’m happy to share this young lady’s 9 month results following her Rhinoplasty and Septoplasty.   Full views are shown.  Please notice the almost invisible incision in the columella in the “worm’s eye view” (when she looks up), how the tip stays in the perfect position even when smiling, and how the tip closely resembles the initial postoperative results in the operating room (in the final photo). It takes 12-18 months for all the nose swelling to come down, during which time I see patients in the office every 2-3 months for steroid injections to accelerate the swelling resolution. The overall goal is to always maintain a natural result. Key maneuvers included a component hump reduction, reverse angulated caudal septal trim, tip deprojection with a columellar strut graft, spreader grafts, alar contour grafts, and a mastoid fascia tip graft – the multiple cartilage grafts were used to help provide long-term stability and structure to maintain the aesthetic and functional goals.