A woman in her 20s, one year post-op rhinoplasty. This patient had an overly rotated tip, overly-projecting nasal tip, and a bulbous tip. Nasal tip de-projection to shorten and slightly de-rotate the nasal tip 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.