Reason for consultation:  The patient desired a more refined nasal tip.  She felt that her nasal tip was too fat, too bulbous.  History is significant for two prior rhinoplasties, a primary rhinoplasty, as well as a revision rhinoplasty with her own rib cartilage.

Procedure: Revision rhinoplasty reutilizing prior autologous rib cartilage, and using cadaveric rib cartilage

Technique:  Dorsal preservation revision rhinoplasty. The Horn strut (Athre Technique). Open approach. General anesthesia.