A woman in her 50s, two months post-op revision rhinoplasty. The patient’s previous rhinoplasty left her with a severely deviated septum with inability to breathe, drooping nasal tip, and a dorsal hump. She underwent revision rhinoplasty with septal reset with spreader grafts to straighten her nose and improve breathing, dorsal hump reduction, nasal tip refinement, alar contour grafts, columellar strut graft for tip support, and tip elevation. MTF cartilage was used for all cartilage grafts. The overall goal is a natural looking result which complements the rest of her face.