During her consultation with Dr. Armen Vartany, M.D. in Burbank, CA, the patient's primary concerns revolved around a dorsal hump and a droopy tip. She expressed frustration that the tip appeared to droop further when she smiled. Following Dr. Armen Vartany's recommendation, primary intranasal rhinoplasty was performed to address these nasal defects, leading to a significant improvement in overall facial symmetry with nuanced and natural-looking changes.