This beautiful 33-year-old woman felt her tip was wide, her mid vault was pinched and nose stuck out too far (over projected) and moved too much with laughing and smiling. She is seen 1 year after an open septorhinoplasty with Dr. Brace to reduce the bump, set back the tip, and open the internal nasal valve. She is looking great and breathing great and we are always grateful when patients let us show their photos. Open septorhinoplasty is a surgery to reshape the outside and inside of the nose and can be done for functional (breathing) or cosmetic issues or in many cases both! Dr. Brace performs 130-150 septorhinoplasties a year and is trained and board certified in facial plastic and reconstructive surgery, with rhinoplasty is a major focus of his training training and practice.