Our beautiful young lady is seen 6 months following functional and cosmetic rhinoplasty surgery. Bothered by her wide nasal appearance, and her large dorsal hump and droopy nasal tip. She also had chronic nasal obstruction from a deviated nasal septum and enlarged turbinates. She is halfway through her healing, and you can see a more feminine and pleasing nasal appearance. We narrowed her nose and nostrils, and we reduced her dorsal hump and rotated her nasal tip. A columella strut graft and and extended shield graft were used to achieve this tip definition, projection, and rotation in our lovely patient with relatively thick nasal tip skin. Her deviated nasal septum was corrected and her turbinates were reduced. We are all thrilled with her results, and she is additionally happy to be breathing better.