This young, healthy, and active male was having issues with breathing from his nose. He was noted to have both internal and external issues which were addressed with a reconstructive rhinoplasty. Photos show him before and over 12 months after reconstructive rhinoplasty. The result is a much straighter appearance of the nose and better profile. This patient’s care was provided by Dr. Christopher Tolan at Midwest Facial Plastic Surgery and Esthetic Skincare.