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The patient is a 21-year-old female who has wanted to change the appearance of her nose by shortening the length, narrowing the dorsal width, and refining the tip. She underwent a rhinoplasty procedure where a transcolumellar incision was made and skin was elevated off of the dorsum and lateral cartilage. The dorsal hump was resected and cephalic trim was performed of the cartilages. The middle section of the medial crurei was removed and caudal trim of the septum was performed.