A woman in her 20s, who had a previous rhinoplasty which left her with nostril asymmetry, a dorsal hump, a drooping tip, and inability to breathe through her nose. She is now two months post-op from revision rhinoplasty with correction of nasal tip asymmetry, dorsal hump reduction, tip elevation, and placement of a columellar strut graft and spreader grafts using MTF cartilage to add tip support, tip refinement, and improve her breathing.