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 primary intranasal rhinoplasty to correct these nasal issues. The patient's overall facial symmetry was significantly enhanced, with subtle and natural-looking changes.