This is an 18 year old female patient who presented for revision rhinoplasty. Following her original surgery, by another doctor, the patient was concerned with the appearance of her nose. On examination, the patient has an over-resected cartilaginous dorsum that resulted in a dorsal saddle on the profile view and dorsal widening on the front view. Additional finding is a droopy inferiorly rotated nasal tip due to loss of tip support. Dr. Foda performed a revision rhinoplasty on her using the patient’s ear cartilage to reconstruct the dorsal and tip support.