This patient is a 19 year-old woman who initially presented requesting correction of a large hump on the bridge of her nose and improvement of the appearance of her nasal tip. My clinical evaluation confirmed the presence of a large hump on the bridge of her nose consisting of both bone and cartilage. She also had a large, round, bulbous nasal tip which did not match the rest of her nose or her face. In order to correct thses problems, she underwent a rhinoplasty, which included extensive work to reshape the nasal tip, as well as a septoplasty to improve her breathing. She is shown before and one year after surgery.