A consultation was held with Dr. Armen Vartany, M.D. in Burbank, CA, where the patient discussed a dorsal hump and a droopy tip. The patient noted that the tip would droop more during smiling. Dr. Armen Vartany recommended and performed a primary intranasal rhinoplasty to correct these nasal issues. The patient's overall facial symmetry was significantly enhanced, with subtle and natural-looking changes.