During the consultation with Dr. Armen Vartany, M.D. in Burbank, CA, the patient emphasized their concerns about a dorsal hump and a droopy tip. They expressed frustration regarding the tip drooping more noticeably during smiling. Dr. Armen Vartany recommended and performed primary intranasal rhinoplasty to rectify these nasal concerns, resulting in a significant improvement in overall facial symmetry with subtle and natural-looking changes.