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After sustaining severe nasal trauma as a child, Mr. A requested breathing restoration and overall straightening of the nose. Several options were discussed, including a comprehensive Rhinoplasty but in the end, a Polish Rhinoplasty procedure was selected. An open approach was used, due to a destabilizing high septal fracture, which required stabilization with bilateral spreader grafts, and PDS plate. While these maneuvers can be performed in a closed fashion, some instances require an open approach. Tip stabilization, bone straightening, and batten grafts were also used to provide nasal support and straightening. The functional and deviation correction result were exactly what he was looking for.