The patient sought consultation with Dr. Armen Vartany, M.D. in Burbank, CA, for 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 correct these nasal defects. The patient's overall facial symmetry was significantly improved with subtle and natural-looking changes.