25-34 year old who had a previous septoplasty and trauma to the nose and presented for a hybrid rhinoplasty to improve the functionality of the nose and the aesthetics. In the case I had to use rib cartilage to structure the nose to improve the nasal deviation and to open the nasal airway. The tip was also supported with rib cartilage to improve the rotation and projection of the tip. In the post-operative photos, you can visualize a straighter nose, the dorsal hump has been removed, and the tip rotated, lifted, and refined.