This young woman had rhinoplasty in Toronto. She felt her nose was too prominent on her face. She felt the tip was too wide and disliked the hump and convex contour of her profile. She was found to have quite thick skin. Results are shown after an external approach ( open approach) septorhinoplasty at about 1 year. One can see a softer more feminine profile. The tip is more defined and narrower. This is somewhat limited by her thick skin. The view from below shows a narrower more trangular tip with a well healed external approach rhinoplasty incision.