A patient had visited me from Norway this week to do a primary rhinoplasty procedure with a history of previous filler injections (nose). Typically patients who have a history of filler injections are at the risk of infections and should eliminate doing further injections. While non-surgical dorsum augmentation via dermal filler injections are an easy fix. I do not encourage them as there is a high risk of complications tha cna result from either the intravascular injection itself or the compressive effect of the fillers on the underlying vessels. In […] When the patient is suffering from high radix we had better remove upper segment of bony part much more in comparison to other patients in order to have smooth. A patient from Australia who has requested completely natural nose and hump removal and mild dorsal augmentation. A patient who has done 2 times rhinoplasty and thin skin, has come to us for tertiary rhinoplasty. she is complaining if, hanging columella, elongated nose, too pointy and sharp tip, deviation in septum and finaly surgical look. we made it shorter, upward, more natural. When the nose generally is not big but just the tip looks big and bulbous, it could be because of something we called it as malpositioned or cephalically oriented lower lateral cartilage. how do we fix it up? Secondary rhinoplasty. the patient who has done rhinoplasty 8 years ago and now augmented with dcif. A patient who has done surgery 1 year ago in belgium, now has come to us for revision rhinoplasty. she is suffering from downward tip, too much bony resection, and bulbous tip. We augmented dorsum with diced cartilage and fascia. and made the tip narrower and delicate and upward. This lady is coming from Russia who is suffering from septal deviation and thick skinned tip nose and downward tip. During surgery we had resected the dorsal hump, preformed tip refinement and osteotomy and spreader graft. As well as lower lateral cartilage reposition and alar base resection. This patient is coming from the United States who has visited me in Muscat, Oman. He is suffering from a huge dorsal hump, droopy nose tip, septal deviation, and a wide bony nose. He has requested to make his nose thinner, more refined, and a upward nose. This is a patient from Kuwait who has done her revision (third surgery) with me in Muscat, Oman. She is suffering from a severe hanging columella and an retracted alar. She has requested to have her nose more shorter and have her nose tip to be more upward. The final result was satisfactory and her nose looks more improved. Thick skin patient from sweden whom has come to us for rhinoplasty. final result with more slender tip and narrowed base.