In Burbank, CA, the patient consulted with Dr. Armen Vartany, M.D. regarding a dorsal hump and a droopy tip. The patient mentioned that the tip would droop more when smiling. Dr. Armen Vartany suggested and carried out primary intranasal rhinoplasty to address these nasal concerns. The patient experienced a marked improvement in overall facial symmetry, with subtle and natural-looking changes.