Nose Job explained
This patient had a rhinoplasty. She had a deviation to her left side, you can see in the first picture. She also had breathing problems, and she had a drooping tip when she smiled.
There are some side pictures where she's smiling and you can see that the tip drops and she has a hump. So, the hump that happens when they smile is sometimes called a pseudo hump, or tip ptosis, where the tip drops down with a smile.
Reasons the tip needs to be restructured are: drooping tip, hanging columella, or tip ptosis are all different reasons that the tip needs to be restructured.
So, I elevated her tip with a septal extension graft. I corrected her deviation by bringing her nose more to midline. I fixed her deviated septum, improved her breathing. She's an actress and she's very happy with it and she gets a lot of compliments on her nose.