Primary rhinoplasty can be transformative. This young lady was very self-conscious about her deviated nose with a bump and a droopy tip. During Piezo rhinoplasty symmetry and contours of her nasal bones were improved. The down pointed tip was tucked upwards, which had a beneficial effect on her upper lip. Her after photos are about one-year post-OP, showing the impact of a well-balanced nose on revealing the beauty of existing facial features.