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The lateral nasal wall mucosa can be undermined as a subperiosteal superiorly based flap which is back-cut vertically as far posterior in the nose as possible (point 9, Figure 19.5 ), behind the piriform rim (green dotted line in Figure 19.5 )

Her nose looks so natural so it cannot be an invasive surgery as rhinoplasty, but she could have done some botox injections that change her nose and make her look more natural