This lady from New Orleans, Louisiana had a complaint of a bump on her nose and a large nasal tip. She also had recurrent nasal bleeding and infections from a septal perforation. This was a complication from a previous surgery by another surgeon. She desired a smaller, more refined nose and repair of her septal perforation. She underwent rhinoplasty in New Orleans, Louisiana by Gregory W. Pippin, M.D., F.A.A.C.S., Louisiana’s only Triple Board Certified Cosmetic Surgeon. Her cosmetic and functional result is excellent.