Patient 77 Description This is a 34- year - old woman came to us with concerns about her droopiness of her nasal tip. This plagued her especially when smiling. She went back and forth if she should do closed rhinoplasty as she was told closed couldn’t do enough. Once she did a consult with us, she learned what we would be able to do. Through our closed Scarless Nose® Rhinoplasty technique, we subtly shaved her dorsal hump. She had an under-rotated nasal tip with pull-down effect from Depressor Nasii muscle, therefore we performed tip deprojection with feminine rotation. She also had crooked, undefined nasal tip with asymmetry of nostrils, therefore we performed refinement of the nasal tip with creation of anatomical triangular tip configuration with nostril symmetry. She also had wide nasal bones therefore we performed narrowing of the nasal bones.