This young lady has a classic “tension nose” which is what we call a nose that seems to be pushing out from the face and pulling up on the upper lip. The nose is very much a prominent and leading figure on this patient’s face. These patients’ noses are often the characterizing feature of their face that people remember. Our goal with a tension nose rhinoplasty is to reduce the size of the nose, creating a balanced face. After the procedure the patient’s nose should just blend in with the rest of the features of the face. We want a new person to look at our patients eyes and not even see the nose. For this young woman, the hump was reduced and the tip elevated slightly.