A woman in her 20s, 6 months post-op rhinoplasty. This patient had an elongated overly-projecting nasal tip, too much nostril show, a dorsal hump, and a drooping tip. Nasal tip de-projection, tip elevation, dorsal hump reduction, and nasal tip refinement were performed. The overall goal is a conservative change of her nose to result in a natural appearance of the nose which is smaller in all dimensions and fits her face and has less visible nostril show.