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Findings: Caudal septum deviated to left, poor tip projection after cartilaginous hump removed, narrow middle vault, alar retraction, concave lateral aspects of lateral crura with mild obstruction of external valve.
Procedure: Open septorhinoplasty with hump reduction, tipplasty, spreader grafts, lateral crural struts, rim grafts and turbinoplasty.
Her postop photos show an improvement with a small residual dorsal hump.