The patient had a consultation with Dr. Armen Vartany, M.D. in Burbank, CA, highlighting concerns about a dorsal hump and a droopy tip. They expressed frustration about the tip drooping more prominently when they smiled. Dr. Armen Vartany recommended and conducted primary intranasal rhinoplasty to correct these nasal concerns, resulting in a noticeable enhancement in overall facial symmetry with subtle and natural-looking alterations.