Problem: This patient has a hump, but really her problem is her tip is dropping more than she has a hump. When she smiles, it exaggerates her hump and her tip dropping. So, she had poor definition of her tip, she had some deviation of her tip, and she had a hump and tip ptosis.
Solution: Rhinoplasty. During the procedure I elevated her tip to match her new nose contour. Less than taking down her hump, I elevated her tip, which is what she actually needed. I improved her breathing at the same time. Septal extension grafts.