Patient whose nose is crooked from front view as well as from profile view. She also has difficulty breathing preoperatively. Straightening the dorsum or bridge of the nose is difficult since this is a main support of the nose. Surgeons who alter this should have strong knowledge of nasal anatomy and use of advanced grafting techniques. Dr. Shah altered her nose by creating a straighter natural appearance without providing bulk to the nose in width of her bridge. Making a straighter nose look thin can be difficult