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Mrs. S. had previous nasal trauma, crookedness, nasal obstruction, and a profile bump that she wanted addressed. A Closed Profile – predominant Rhinoplasty and Septoplasty were performed. A left spreader graft was placed, and the volume of her left tip cartilage was reduced. The septum was shaved and a columellar strut was placed to provide symmetry to the columella. In addition a right subalar graft was placed to level the nasal tip foundation. In all, while no formal nasal tip surgery was done, the result is a beautiful and straight nose, which looks completely natural. The result is shown at 1 year post- surgery.