Figure 2. Picture 9. A 22-years old lady admitted in our department with severe nasal obstruction, wide dorsum, bulbous, underprojected and underotated tip, slight hump. She underwent open rhinoplasty: 1) Hump removal and medial oblique and lateral osteotomies with guarded microosteotome 2,5 mm 2) Septoplasty via the columellar incision 3)Dorsal onlay autologous graft (septal cartilage) 4) removal of a strip from the caudal septum and a part of the anterior nasal spine 5) Columella strut 6) transdomal and interdomal sutures 7) columella onlay graft. Preoperative and postoperative pictures 1 year later.
