Dean Toriumi: Secondary Rhinoplasty

Under-projected nasal tip and extra cartilage above in the supratip area

Secondary rhinoplasty is much more difficult than primary rhinoplasty (no previous rhinoplasty surgery). Most patients undergoing secondary rhinoplasty require some degree of reduction and augmentation. 

This patient had an under-projected nasal tip and extra cartilage above in the supratip area (above the tip). She underwent reduction in some areas of her nose and augmentation. The photographs show her two-year postoperative outcome.