Can I get a straight profile with a supratip break?

It's one of the nuances to rhinoplasty.  Leaving a hint of a supra tip dip to accent the feminine tip.  I avoid it like the plague on men.  But on women, a perfectly straight profile can look a little to strong, unless the face is long and the patient is tall.  Supra tip dips are easy to fill afterwards, if you don't like yours so it's no harm-no foul going for a nice supra tip dip with your rhinoplasty.

It is often aesthetic to have a slight supratip break especially in females, but that is up for discussion with the patient in conjunction with an experienced rhinoplasty surgeon. Often, I do not make a significant supratip break, in a male rhinoplasty patient.

An absolutely straight nasal profile is often felt by patients (and doctors) to be an unnatural "operated-on" look. The slight upward tilt of the nasal tip from an otherwise straight nasal profile is created surgically where one is not present to give a more natural, un-operated tip appearance. Some men are OK with a straight nasal profile, but most women (and some men) prefer a more refined, elegant look with a slight "break" in the straight line. The ideal "break" is very subtle, IMHO.

A "scoop" or curve to the nasal profile is generally a sign of over-resection of the nasal hump, and can give an unnatural "ski jump"  type nasal appearance. This is not a good look, and the tiny overdone nose went "out" in the 60's!