During a consultation with Dr. Armen Vartany, M.D. in Burbank, CA, the patient expressed concerns about a dorsal hump and a droopy tip. They noted that the tip would droop more when smiling. Dr. Armen Vartany recommended and performed primary intranasal rhinoplasty to address these nasal issues. The patient's overall facial symmetry was significantly enhanced with subtle and natural-looking changes.