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Surgeon: Dr. Thomas Hubbard

This young woman from the Outer Banks of North Carolina came to discuss her concerns with her nose. She was bothered by her wide tip and also from the side she felt like her bridge was too high and her tip was under rotated or too low. I improved her profile by taking down the hump. I narrowed the tip and also rotated her tip and columella up (skin bridge between the nostrils). For twenty years I have very carefully been measuring rotation. She was measured to be rotated 3.5 mm. Her columella was brought up 2.0 mm. Rotation of the nose has to be extremely precise to bring the tip into the ideal position that creates an absolutely beautiful, natural silhouette to the nose. She is extremely happy with the changes that also included narrowing of the bone.

Case Number: 635

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