Rhinoplasty Patient 18**

About This Patient

This 25 year old, referred to Dr. Parker by several other patients, expressed concern about the appearance of her nose and lower eyelids. Specifically, the patient did not like the bump on her nose and her drooping nasal tip, which worsened when she smiled. She also asked to have the puffiness corrected on her lower eyelids. Dr. Parker performed a closed rhinoplasty, removing the bony cartilaginous dorsal hump, then performed infractures to appropriately narrow the nose. He then removed the depressor nasi septi muscles to prevent the tip from drooping when the patient smiled and slightly elevated the tip with sutures to a more pleasing angle. Regarding the patient’s lower eyelids, Dr. Parker removed the herniated lower lid fat through transconjunctival incisions. He then transferred this fat to the nasojugal grooves to soften these depressions and create a better blending between the lower eyelids and cheek. Postoperatively, the patient recovered without pain and experienced minimal swellling and bruising. She is thrilled with the improved appearance of both her nose and eyes.