Patient had a previous rhinoplaty by an outside surgeon in which her septum was left bowed to the left side with retraction of left nostril and fullness in nasal tip with poor orientation of the nasal tip. Revision rhinoplasty result by Dr. Shah at one year demonstrates improvement in nostril retraction on left side, straightening of nasal septum and smaller, more feminine tip. This patient's nasal grafting was entirely from the nasal septum.