* This lovely young woman came to discuss concerns with difficulty breathing through her nose, as well as some cosmetic concerns. She never sustained an injury to her nose, but had been told she had a deviated septum. Sometimes this can be a congenital problem that people are born with. She said this ran in her family. Her breathing difficulties were worse on the left side of the nose–you can see how the lower part of the septum is bulging into her left nostril in the photos! In addition to the deviated septum, she also had stenosis, or narrowing, of her internal nasal valve, which diminishes nasal air flow. Interestingly, the nasal turbinates, which warm and moisten the air as it passes through the nose, sometimes become too large when someone has blocked nasal passages. All of these problems were making it difficult for her to breathe. In addition, she was unhappy with the shape of her nose and felt like her dorsal hump was too big. She also wanted her nose to look more feminine and cute. All of her cosmetic and functional (breathing) concerns were addressed with her rhinoplasty and septoplasty to correct the deviation. She also required spreader grafts (to address the internal valve stenosis, where cartilage was borrowed from her septum) and an outfracture of her inferior turbinates. Post-op photos are shown 7 months post surgery. Interestingly, although this patient has a naturally small and delicate chin, she looks more balanced in profile after her rhinoplasty. No chin adjustments were performed. It’s all about striking a more proportionate balance between the nose and the rest of the face. She is breathing well through her nose and very happy with the way her nose looks!!