due to genetics or trauma, a deformity of the nose can appear out of balance with the remaining facial structures. The amount of individual variations is infinite. Too long, too short, too wide, too narrow, crooked, hooked, or humped are just some of the terms a patient uses to describe his/her nose. The goal of a nosejob, or rhinoplasty, is to create facial balance and to take focus away from the nose and instead bring one's attention to the eyes. Depending on the deformity, this can be done through a closed (entirely through the nostrils) or open ( through a small incision under the nasal tip) approach. This can also be combined with septoplasty if nasal obstruction related to a deviated septum is present. Occasionally the nose may appear more prominent as a result of an underprojected chin. Patients with this problem are counseled on chin augmentation.

Before and after Rhinoplasty case
Patient 1 oblique view	Patient 1 side view
Patient 1 bottom view
Patient 2 oblique view	Patient 2 side view
Patient 3 oblique view	Patient 3 side view
Patient 4 oblique view	Patient 4 side view
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feel the pain when their child is hurting from being teased about their appearance. This problem struck close to home when one of my own family members came home crying because she was teased about her prominent ears. Names such as "Dumbo" or "Elephant ears" are often unfortunately used when teasing these children about a problem over which they have no control. Pinning back the ears, or otoplasty, is a technique to recreate the fold of the ear and set back a prominent bowl to the ear. Incisions are hidden in the crease behind the ear. Surgery can be performed at any age from children prior to beginning school to adults.

Before and after Otoplasty case
Patient 1 front view	Patient 1 back view
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