29 year old female interested in rhinoplasty to reduce bump mainly but also refine tip. Patient underwent rhinoplasty from the open approach to reduce bridge and resculpt the tip cartilages. A slight tip rotation was performed as well. The open rhinoplasty approach was chosen since patient had thick skin and no tip support requiring grafting. Grafts are fixed in position better with open rhinoplasty. Patient is shown 1 year after surgery.