A woman in her 30s, who had a previous rhinoplasty which left her with an elongated nose, an overprojecting nasal tip, tip asymmetry, and inability to breathe through her nose. She is now one month post-op from revision rhinoplasty with correction of tip asymmetry, tip deprojection to shorten her nose, and placement of a columellar strut graft, spreader grafts, and alar contour grafts using MTF cartilage. She has significant improvement in breathing.