Patient 74 Description This is a 26-year-old woman came to us with concerns of breathing difficulty, crooked nose, dorsal hump and bulbous nasal tip. She always felt in angles her nose looked harsh especially with flashes which always picked up how crooked her middle third of her nose was. Therefore with our closed Scarless Nose® Rhinoplasty technique, we addressed her septum and then 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 dorsum and undefined nasal tip with asymmetry of nostrils, therefore we performed refinement of the nasal tip . She also had wide nasal bones therefore we performed narrowing of the nasal bones. We also used spreader grafts to improve breathing and straighten the nose from top to bottom.