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Mediterranean female patient softening of her nose and improvement of her breathing.
Procedure: Septoplasty, turbinoplasty, open rhinoplasty with hump reduction, lateral crural strut grafts secondary to weak tip cartilage, tip cartilage reduction, columellar strut and placement of a double-layered dome graft to increase projection.
Comments: The 3 month postoperative photos show an improvement in her nasal contour with residual supra-tip swelling which will resolve in the next few months.