A woman in her 20s, who had a previous rhinoplasty which resulted in a dorsal hump, an over-projecting nasal tip, and a drooping tip. She is now two months post-op from revision rhinoplasty with 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.