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Mr. D. had severe nasal congestion as well as a profile bump and external nasal deviation. He was not concerned with the contour of his tip and Dr. Westreich agreed with that decision. A closed septorhinoplasty with right spreader graft placement was performed to address these concerns. It is important in men especially, to leave a higher profile, so a strong and masculine result is achieved. This is even more important in Profile-plasty, where the existing tip needs to be balanced with the new profile result.