This is a 30 year old male patient who’s nose was crushed in a major car accident. The patient had two previous rhinoplasties that failed to mobilize his impacted nasal bones. On examination, the patient has a severely fractured deviated nasal bones with a traumatic saddle (concavity of nasal dorsum), superior retraction of the nasal tip resulting in an overly short nose. Dr. Foda performed a revision nasal reconstructive procedure on the patient using the patient’s own rib cartilage to build up the nasal dorsum and lengthen his short nose. Multiple osteotomies (cuts in nasal bones) were done to realign the nasal bones.