This patient presented to the office with complaints about her nasal bump, bulbous nasal tip and widened nasal bones. She felt her nose was too masculine in appearance. She had a full rhinoplasty using an open approach at our JCAHO-accredited surgical facility in Downers Grove, IL. The surgery consisted of reducing her nasal hump, narrowing the nasal bones by in-fracture, refining the nasal tip with cartilage resection and cartilage sutures, and raising the nasal tip. The patient tolerated the procedure well with minimal bruising and swelling. At three months postoperatively, she has a refined, more feminine nasal tip, a straight nasal profile, a supratip break, and a raised nasal tip. She was happy with the more feminine appearance of her nose.