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This 20-year-old patient presented with concerns about the size and shape of her nose, particularly a prominent bony and cartilaginous dorsal hump and a nasal tip that appeared under projected, bulbous, and lacking rotation. She also noted that her tip drooped and her nostrils flared significantly when smiling. Dr. Petroff performed a comprehensive rhinoplasty to smooth the dorsal hump, refine and rotate the tip, and address the dynamic changes that occurred with facial expression. The result is a more balanced, elegant nasal contour both at rest and in motion. This procedure was performed at Petroff Center Plastic Surgery in Lake Oswego, Oregon.