This older male patient had issues with breathing through his nose. He was noted to have both internal and external deformity of the nose. To address his issues, a reconstructive rhinoplasty was required. Photos show him before and 12 months after reconstructive rhinoplasty. The result is a straighter nose with a smoother appearance along the bridge of the nose. This patient’s care was provided by Dr. Christopher Tolan at Midwest Facial Plastic Surgery and Esthetic Skincare.