A 18 year old male with distant history of nasal trauma. Presents complaining of bilateral nasal obstruction and crooked nasal deformity. He was found to have a severely deviated septum and an external nasal deviation. Challenging primary rhinoplasty which included septoplasty, hump reduction, spreader grafts, and batten grafts. Post-operatively his nasal obstruction was corrected. On the frontal view, an improvement in his nasal deviation is evident. Lateral view shows reduction of his hump with profile alignment. Base view reveals a triangular shape, nostril symmetry as well as improvement of his nasal deviation.






















































































































































































































