During her consultation with Dr. Armen Vartany, M.D. in Burbank, CA, the patient's primary concerns centered around a dorsal hump and a droopy tip. She noted increased drooping when smiling. Dr. Armen Vartany recommended and performed primary intranasal rhinoplasty to correct these nasal defects, resulting in a significant enhancement of overall facial symmetry characterized by subtle and natural-looking changes.