In Burbank, CA, the patient consulted with Dr. Armen Vartany, M.D. regarding a dorsal hump and a droopy tip. They 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.