Mrs. S. had a previous nasal fracture and right nasal obstruction. In addition, she felt that her nose was too wide for her face, had a profile bump, and was crooked. A closed Rhinoplasty (Tip and Profile) with Alar Base Reduction, septoplasty and a right alar batten graft was done. The result is a nose that works and fits her face perfectly. The result is shown at 1 year post surgery.