Section I: Preparation Is Essential Section II: Techniques Section III: Postoperative Care Section IV: Complications and Sequelae Section V: Case Studies Case 1 Major Deformity: Over-Projected Tip; Minor Deformities: Bifid Tip, Asymmetric Tip Case 2 Major Deformity: Over-Projected Tip; Minor Deformity: Small Dorsal Hump Case 3 Major Deformity: Over-Projected Tip; Minor Deformities: Dorsal Hump, Asymmetric Dorsum, Broad Tip, Counter-Rotated Tip Case 4 Major Deformity: Over-Projected Tip; Minor Deformities: Dorsal Convexity, Rounded Tip, Microgenia Case 5 Major Deformity: Over-Projected Tip; Minor Deformities: Rhinion Hump, Twisted Tip Case 6 Major Deformity: Over-Projected Tip; Minor Deformities: Under-Rotated Tip, Short Mesial Crura, Tip Deviated to Right, Bony-Cartilaginous Hump Case 7 Major Deformity: Over-Projected Nose; Minor Deformities: Over-Projected Tip, Hanging Middle Crura, High Radix Case 8 Major Deformity: Over-Projected Tip; Minor Deformities: Blunted Nasolabial Angle, Wide Tip Case 9 Major Deformity: Under-Projected Tip; Minor Deformities: Crooked Nose, Thick Skin Case 10 Major Deformity: Under-Projected Tip; Minor Deformities: Deviated Tip, Alar Retraction Case 11 Major Deformity: Under-Projected Tip; Minor Deformities: Over-Rotated Tip, Deep Radix, Dorsal Hump, Bulbous Tip Case 12 Major Deformity: Alar Retraction; Minor Deformities: Over-Rotated Tip, Asymmetric Tip Case 13 Major Deformity: Bulbous Tip; Minor Deformities: Pollybeak Deformity, Nose Encased in Silicone Granulomas Case 14 Major Deformity: Asymmetric Tip; Minor Deformities: Bilateral Tip Bossae, Over-Projected Tip Case 15 Major Deformity: Asymmetric Tip; Minor Deformities: Bulbous Tip, Crooked Nose, Asymmetric Hump Case 16 Major Deformity: Asymmetric Tip; Minor Deformities: Over-Resected Alar Cartilages, Crooked Nose, Narrow Middle Third Case 17 Major Deformity: Asymmetric Tip; Minor Deformities: Over-Projected Tip, Counter-Rotated Tip Case 18 Major Deformity: Asymmetric Tip; Minor Deformities: Buckled Tip Cartilages, Under-Rotated Tip, Under-Projected Tip, Caudal Septal Deviation, Slightly Elevated Dorsum Case 19 Major Deformity: Asymmetric Tip; Minor Deformities: Broad Tip, Over-Projected Tip Case 20 Major Deformity: Pinched Tip; Minor Deformities: Nasal Tip Bossae, Infratip Cleft, Wide Tip, Right Alar Rim Retraction Case 21 Major Deformity: Bulbous Tip; Minor Deformities: Asymmetric Domes, Buckling of the Left Lateral Crus, Caudal Septal Deflection Case 22 Major Deformity: Bulbous Tip; Minor Deformities: Divergent Bifid Dome, Large Nose, Dorsal Hump Case 23 Major Deformity: Bulbous Tip; Minor Deformities: Parentheses Deformity, External Nasal Valve Collapse, Flared Medial Crural Footplates, Dorsal Hump Case 24 Major Deformity: Bulbous Tip; Minor Deformities: Short Nasal Bones, Pseudohump Case 25 Major Deformity: Bulbous Tip; Minor Deformities: Under-Projected Tip, Wide Dorsum, Nasal Obstruction Case 26 Major Deformity: Bulbous Tip; Minor Deformities: Wide Dorsum with Osteocartilaginous Hump, Thick Skin, Poor Tip Support/Weak to Palpation Case 27 Major Deformity: Hanging Infratip Lobule; Minor Deformity: Dependent Intermediate Crura Case 28 Major Deformity: Cephalically Oriented Lower Lateral Cartilages; Minor Deformities: Narrow Middle Vault, Dorsal Hump, Wide/Bulbous Tip, Septal Deviation to Left, Mild Tip Under-Projection, Microgenia Case 29 Major Deformity: Cleft Lip Nose; Minor Deformities: Crooked Nose, Asymmetric Tip Case 30 Major Deformity: Cleft Lip Nose; Minor Deformities: Deviated Dorsum to Right; Bilateral Upper Lateral Cartilage Collapse; Wide, Asymmetric Tip Lobule; Left Alar Flattening; Right Alar Retraction; Dorsal Hump; Deficient Premaxilla (Mild) with Class 3 Malocclusion; Cleft Lip Scar Case 31 Major Deformity: Concave Lateral Crura; Minor Deformities: Asymmetric Tip, Under-Rotated Tip Case 32 Major Deformity: Concave Lateral Crura; Minor Deformities: Broad Tip, Over-Projected Tip, High Dorsum Case 33 Major Deformity: Asymmetric Tip; Minor Deformities: Wide Tip, Crooked Nose Case 34 Major Deformity: Hanging Infratip Lobule; Minor Deformities: Inverted-V, C-Shaped Nasal Bridge Curvature, Pollybeak, Lobular Pinching, Alar Retraction, Nasal Valve Collapse, Septal Deviation Case 35 Major Deformity: Hanging Infratip Lobule; Minor Deformities: Large, Long Nose; Short Upper Lip Case 36 Major Deformity: Over-Rotated Tip; Minor Deformities: Short Nose, Poor Tip Projection, Retraction of the Alar Bilaterally, Protrusion of the Anterior Septal Angle to the Right, Middle Vault Collapse Bilaterally with Inverted-V Deformity, Deep Alar Grooves Case 37 Major Deformity: Pinched Tip; Minor Deformities: Asymmetric Tip, Bilateral Nasal Valve Collapse Case 38 Major Deformity: Ptotic Tip; Minor Deformity: Aged Nose Case 39 Major Deformity: Asymmetric Tip; Minor Deformities: Severe Bossa, Over-Projection, Right Alar Collapse, Unitip Deformity Case 40 Major Deformity: Asymmetric Tip; Minor Deformities: Thin Skin, Over-Projected Tip Case 41 Major Deformity: Wide Tip; Minor Deformities: Amorphous Tip, Acute Nasolabial Angle Case 42 Major Deformity: Wide Tip; Minor Deformities: Columellar Retraction, Bifid Tip Case 43 Major Deformity: Wide Tip; Minor Deformities: Hanging Infratip Lobule, Slight Bony-Cartilaginous Hump Case 44 Major Deformity: Wide Tip; Minor Deformities: Wide, Flattened Dorsum; Bulbous, Flattened Tip with Wide Alar Cartilages; Very Obtuse Nasolabial Angle with Very Poor Tip Recoil and Support of Tip; Retrusive Caudal Edge of Septum; Flaring Nostrils with Rounded Looking Nasal Base Case 45 Major Deformity: Dorsal Hump; Minor Deformity: Nasal Deviation Case 46 Major Deformity: Dorsal Hump; Minor Deformity: Large Nose Case 47 Major Deformity: Dorsal Hump; Minor Deformities: Over-Projection, Septal Deviation Case 48 Major Deformity: Dorsal Hump; Minor Deformities: Columellar Retraction, Broad Dorsum Case 49 Major Deformity: Dorsal Hump; Minor Deformities: Tip Ptosis with Poor Tip Support, Narrow Middle Vault, Left Nasal Valve Collapse, Mild Hanging Columella Case 50 Major Deformity: Dorsal Hump; Minor Deformities: Tip Ptosis, Wide Middle Third Case 51 Major Deformity: Dorsal Hump; Minor Deformities: Wide Rhinion, Shallow Radix, Wide Nasal Base, Poor Projection, Thick Skin Case 52 Major Deformity: Dorsal Hump; Minor Deformities: Wide Nasal Bones, Amorphous Tip, Wide Tip, Ptotic Tip, Over-Projected Tip, Excessive Nasal Spine Case 53 Major Deformity: Over-Projected Nose; Minor Deformities: Crooked Nose; Caudal Septal Deflection to Left; Over-Rotated Tip; Asymmetric, Wide, Bulbous Tip; Internal and External Valve Collapse; Thin Middle Vault; Mild Dorsal Hump; Mild Columellar Show Case 54 Major Deformity: Over-Projected Nose; Minor Deformities: Blunt Nasolabial Angle, Dorsal Cartilaginous Hump, Poor Tip Support/Weak to Palpation, Wide Nasal Bones Case 55 Major Deformity: Over-Projected Nose; Minor Deformities: Malposition of Implant, Over-Rotated Tip, High Nasofrontal Angle Case 56 Major Deformity: Low Dorsum; Minor Deformities: Amorphous Tip, Under-Projected Tip, Alar Flaring, Acute Nasolabial Angle Case 57 Major Deformity: Saddle Nose; Minor Deformities: Irregular, Deviated Bony Dorsum; Asymmetric Dorsal Aesthetic Lines; Broad Tip; Retracted Columella Case 58 Major Deformity: Saddle Nose; Minor Deformities: Over-Rotated (Short) Nose, Bilateral Nasal Valve Collapse (Right Worse Than Left), Deviated Septum to Left, Asymmetric Tip, Right Alar Retraction Case 59 Major Deformity: Wide Tip; Minor Deformities: Dorsal Hump, Under-Projected Tip, Recurvature of the Lateral Crus, Long Upper Lip Case 60 Major Deformity: Crooked Nose; Minor Deformities: Collapsed Left Upper Lateral Cartilage; Asymmetric Domes; Right Alar Retraction; Open Roof Deformity; Over-Rotated, Short Tip; Excess Left Columellar Show; Left Vestibulitis Due to Caudal Septal Deviation; Thin Skin Case 61 Major Deformity: Crooked Nose; Minor Deformities: Severe Left Middle Third Depression, Bifid Tip, Wide Tip Case 62 Major Deformity: Crooked Nose; Minor Deformities: Dorsal Hump, Cleft Nose Deformity Case 63 Major Deformity: Crooked Nose; Minor Deformities: Over-Projection and Under-Rotation of the Tip, Slight Deepening at the Nasion Case 64 Major Deformity: Crooked Nose; Minor Deformities: Ptotic Tip, Over-Resected Dorsum Case 65 Major Deformity: Postrhinoplasty Open Roof Deformity; Minor Deformities: Pollybeak Tip, Twisted Tip, Alar Columellar Relationship Asymmetry, Lateral Crura Asymmetry, Poorly Defined Nasion Case 66 Major Deformity: Over-Projected Nose; Minor Deformities: Wide Dorsum, Thick Skin, Broad Nasal Tip Case 67 Major Deformity: Pinched Middle Third; Minor Deformities: Shallow Dorsum, Over-Projected Tip Case 68 Major Deformity: Crooked Nose; Minor Deformities: Scarred, Irregular Skin; Tip Ptosis Case 69 Major Deformity: Wide Dorsum; Minor Deformities: Broad Tip, Slightly High Dorsum, Retrusive Chin Index of Nasal Deformities.