In Burbank, CA, the patient consulted Dr. Armen Vartany, M.D. regarding a dorsal hump and a droopy tip. She expressed annoyance at the tip's tendency to droop more prominently during smiling. Dr. Armen Vartany recommended and performed primary intranasal rhinoplasty to address these nasal concerns. The patient experienced notable improvement in overall facial symmetry, with subtle and naturally occurring changes.