Performing the initial physical examination and history is a critical step. Posttraumatic edema, preexisting nasal deformity, or a discrete septal fracture may complicate the physical examination and may lead to unrecognized acute deformity. First, external evaluation to determine nasal deviation followed by an internal examination with proper lighting and a nasal speculum should be performed on all patients who present to the emergency room or clinic. On physical examination

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Most intervention regarding the nasal dorsum, or the nose's external ridge, involves either augmentation, in cases of deficiency, or reduction, in the presence of an existing hump. Augmentation is generally performed to fortify the nasal dorsum and smoothen bumpiness. Authors have published a plethora of techniques using a broad array of tissues and implants. Autogenous & Homologous Tissue Autogenous Cartilage Although a multitude of options exist for augmentation of the nasa