28-year-old female presenting today in consultation regarding aesthetic nasal concerns. The patient desires dorsal hump reduction, increased tip rotation for a ptotic nasal tip, tip refinement, narrowed nasal dorsum, and straightened nasal pyramid . The patient also endorses bilateral nasal obstruction (R>L). She underwent a modified Z flap preservation rhinoplasty with septal cartilage grafting (right SEG; right spreader graft) and nasal SMAS flap