This patient is a 43 year old male who was unhappy with the appearance of his nose for a variety of reasons. Firstly, he disliked its large size and pointy profile. In addition, he was unhappy with its dorsal hump, lack of definition in the tip, and wide nasal dorsum. An open rhinoplasty was performed by Dr Perez to correct these imperfections. During this procedure, the dorsal hump was reduced and septal cartilage harvested to create spreader grafts and a columellar strut graft. Osteotomies were also performed to further refine the shape of the nose. The result was a refined but masculine nose the patient is proud of.