A woman in her 40s, nine months post-op rhinoplasty and chin implant. This patient had an elongated overly-projecting nasal tip, a dorsal hump, and a drooping tip. Nasal tip de-projection, dorsal hump reduction, 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. She also underwent chin augmentation with a 7mm medpor chin implant with mini-screw fixation in order to improve her jawline contour.