This patient, who has already undergone two closed rhinoplasties, complains of excessive shortening of the nose and, in particular, of a saddle deformity of the dorsum, which is overly hollowed. In addition, the tip appears overly projected, bulbous, and rounded. The patient wishes to regain pleasant proportions by raising the dorsum and reducing the bulbosity and excessive volume of the tip. Here as well, accurate computer simulation will be a fundamental means of communication between patient and surgeon, to understand and jointly analyze what can realistically be achieved with revision rhinoplasty. In summary, the surgical plan will consist in restoring a proper balance of proportions among the different components: the dorsum will be raised with small diced cartilage grafts, wrapped in an envelope of temporalis fascia (“Diced Cartilage Fascia”), while the tip will be shortened and restructured with additional cartilage grafts and appropriate sutures.