This 30 year old woman had a rhinoplasty many years ago at another clinic and disliked the contour of her nose. She specifically dislikes the ‘parrot beak’ deformity she had, which describes the lack of nasal tip support that resulted from her prior rhinoplasty. A ‘parrot beak’ deformity can also result from an inadequate removal of the nasal ‘hump’ during rhinoplasty. In either case, patients with nasal deformity after rhinoplasty often seek revisionary rhinoplasty surgery. We performed open rhinoplasty, removed additional cartilage along the ‘hump’ of the nose and added tip support with care not to over-rotate her nasal tip. Her post op photos were taken one year after revisionary rhinoplasty surgery by Dr. Scott Sattler of Sound Plastic Surgery in Seattle WA.