The patient underwent a consultation with Dr. Armen Vartany, M.D. in Burbank, CA. The primary concerns were a dorsal hump and a droopy tip. The patient noted that the tip would droop further when smiling. Dr. Armen Vartany recommended and executed a primary intranasal rhinoplasty to address these nasal issues. The patient experienced a significant improvement in overall facial symmetry, with subtle and natural-looking changes.