The patient sought consultation with Dr. Armen Vartany, M.D. in Burbank, CA, expressing concerns about an overall crooked nose. Additionally, they complained of difficulty breathing and trouble sleeping at night. They desired a straighter nose and correction of their deviated septum. Dr. Armen Vartany recommended and performed primary open septo-rhinoplasty to address these nasal issues. The result was an improvement in overall facial symmetry and breathing, with natural-looking changes.