Patient with a crooked nose, difficult breathing through the nose and a droopy nasal tip. Her primary rhinoplasty included a septoplasty to straighten her nasal septum. Tip reshaping included a Septal extension graft in combination with recontouring and transposition of initially cranially misplaced alar cartilages. The photos are 14 months after rhinoplasty. She was very pleased with the outcome, recommending GB to her sister-in-law and her husband.