This patient wanted to change the appearance and function of her nose. She felt that she had a hump on the dorsum of the nose, a downward turning tip, and felt that the tip ‘wiggled’ when she talked. She had a history of a broken nose in her youth. She underwent reduction of the dorsal hump, placement of a cartilaginous graft at the root of the nose, straightening of the septum with cartilage grafts and remolding of the cartilages of the tip. She has a very natural appearing postoperative result.