During a consultation with Dr. Armen Vartany, M.D., in Burbank, CA, the patient expressed concerns about a dorsal hump and a droopy tip, especially when smiling. Dr. Vartany recommended and performed primary intranasal rhinoplasty, along with a chin implant, to address the nasal and chin defects. This comprehensive approach resulted in significantly improved facial symmetry with subtle, natural-looking changes.