Patient had a consultation with Armen Vartany, M.D. in Burbank, CA. His main concerns were a dorsal hump and a very droopy "hooked" tip. He complained that his nose would droop more when he smiled. Dr. Armen Vartany recommended and performed primary intranasal rhinoplasty to correct the nasal defects. Overall facial symmetry was improved significantly with subtle and natural looking changes.