30 year old had a previous Rhinoplasty by another surgeon, and had requested elevation of her nasal bridge, naso-frontal angle as well as refinement of her tip and narrowing of her nostrils. The other surgeon failed to adequately elevate the nasal frontal angle and bridge. In addition, this other surgeon poorly executed an incision in the mid columella and also used a nasal sill technique to attempt to narrow the nostrils. Both resulted in distortion of the nose and nostril structures. Dr. Slupchynskyj reversed this patient's poor results from another surgeon by performing Revision Rhinoplasty and placing a custom carved silastic implant to adequately augment and restore shape to her bridge. Nasal Revision Surgery included defatting of excess fibrous tissue in the tip and placement of cartilage grafts to refine and support the tip. Last, placement of a columellar strut graft put the nasal tip back into pleasing proportion. This patient is extremely pleased post-operatively with her desired results.