During a consultation with Dr. Armen Vartany, M.D., in Burbank, CA, the patient expressed concerns about a dorsal hump and a droopy tip, particularly noticeable when smiling. Dr. Vartany recommended and performed primary intranasal rhinoplasty, in addition to a chin implant, to address both nasal and chin defects. This combined approach led to a marked improvement in facial symmetry with subtle, natural-looking changes.