In this young man, the dorsum is wide and the tip is markedly deformed, with alar cartilages that are excessively wide, bulbous, convex, asymmetric, and rotated too far upward relative to the nostril margin. In addition, in profile and in the three-quarter view, the nose appears excessively projected. In this case, the surgical plan consists of narrowing the dorsum as appropriate through precise osteotomies of the nasal bones, deprojecting the tip, and, above all, restoring symmetry and harmony to the tip by combining selective resection of the superior border of the alar cartilages, downward repositioning of the alar cartilages, targeted sutures, and the use of thin, selective grafts (harvested from the septum) placed on the internal surface of those same cartilages. Surgery for a tip of this type is particularly sophisticated and requires a combination of several techniques, in addition, of course, to the open approach.