Mrs. C wanted conservative tip and profile refinement with straightening and airway correction. A combined functional and cosmetic procedure was done using a closed rhinoplasty approach. Profile-plasty with a left spreader graft was done. Tip refinement was achieved with suture narrowing, volume excision, structural tip graft, cartilage shortening and a right tip contour graft. Foundation rhinoplasty techniques were also used to straighten the nasal tip. She is thrilled with her result and the breathing outcome is excellent.