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Preop and 4 months postop This is a 50 year-old female who is 5’ tall. She presented for discussion of possibly rhinoplasty. She broke her nose at 14 years-old and started having difficulty breathing through her right nostril. She was also bothered by the shape of her nose—specifically the dorsal hump and her nasal tip. Therefore, she underwent a rhinoplasty procedure. A spreader graft was placed to improve airflow and reduce the obstruction as well as resection of a portion of the septum. To improve the cosmetic appearance of her nose a dorsal hump reduction was performed plus repositioning of her nasal tip and columella with nasal tip refinement.