This patient was bothered by her severely crooked nose from the front view and on profile view she dislikes the small hump and the round, droopy nasal tip. She also had difficulty breathing through her nose. We performed a rhinoplasty to straighten her nose, define the nasal tip, lift and support the nasal tip and lower the bridge slightly. We also performed a septoplasty and nasal valve repair to dramatically improve her nasal breathing.