This patient had a primary rhinoplasty by a different doctor, that resulted in major deformities of the tip.
This (34 – 44 year old) patient had a poor original rhinoplasty, which created a pinched, uneven tip.
This (24 – 34 year old) patient had very thick skin. The original nose surgeon did not remove excess cartilage in the tip.
This (18 – 24 year old) patient had deformed nostrils and columella from a previous open rhinoplasty.