A young man is shown 6 weeks after a Septoplasty and Rhinoplasty. Preoperatively, the patient had difficulty breathing from his nose and complained of a dorsal hump with slight drooping of his nasal tip. The septoplasty was combined with spreader grafts to achieve instant improvement in his breathing which he noted in the recovery room, immediately after surgery. The rhinoplasty improved his dorsal hump, and rotated the nasal tip up just enough to improve the nasal droop and maintain a natural appearance to the nose while preserving a masculine appearance.