I recently performed  a difficult rhinoplasty in Torrance, CA which required a constellation of procedures to obtain a perfect result. Firstly, the nasal bones were quite hard and thick.  Because of this, multiple fractures had to be created to narrow the bridge and establish symmetry. Both horizontal and vertical fractures were made in the bones, as well as a horizontal linear fracture along the root of the nose between the eyes. This last fracture was made through a tiny incision in the club or medial portion of the eyebrow. And because of the inherent asymmetry between the top or root of the nose and the base or bottom of the nose, cartilage grafts had to be placed along the side walls of the nose to give the appearance of a midline structure.