This young lady is looking better and breathing better 1 year following her rhinoplasty and septoplasty. Notice how her nostril collapse has also improved in the "worm's eye" view -- the view from below the nostrils... Key maneuvers include a component hump reduction, reverse angulated caudal septal trim, extended spreader grafts locked into a columellar strut graft, alar contour grafts, and a hybrid tip graft, all to help provide long-term stability and structure to maintain the aesthetic and functional goals.