At the consultation with Dr. Armen Vartany, M.D. in Burbank, CA, the patient's primary focus was on addressing a dorsal hump and a droopy tip. They expressed dissatisfaction, particularly noting increased drooping during smiling. Following Dr. Armen Vartany's recommendation, primary intranasal rhinoplasty was performed to rectify these nasal issues, resulting in a significant enhancement of overall facial symmetry with subtle and natural-looking alterations.