“…However, a second procedure is often needed, as nose development is completed at the age of 14 years or later [ 3 ]. Pham et al [ 4 ] reported three novel cases of frontorhiny that were treated with reconstructive open rhinoplasty, with special attention paid to columellar contouring, eradicating bidifity, columellar lengthening with V-Y closure, and enhancing tip projection The nasal dorsum and underdeveloped nasal tip present unique clinical challenges, and the authors employed a staged definitive rhinoplasty that yielded positive results at a two-year follow-up. Although definitive nasal correction is often performed at older ages, severe nasal deformities have the potential to significantly impact a child's psychological development.…”