The patient visited Dr. Armen Vartany, M.D. in Burbank, CA, for a consultation. Their primary concerns were a dorsal hump and a droopy tip. The patient noted that the tip would droop more when smiling. Dr. Armen Vartany suggested and carried out primary intranasal rhinoplasty to address these nasal issues. The patient's overall facial symmetry was significantly enhanced with subtle and natural-looking changes.