Maxillofacial surgeon Dr. S. M. Balaji successfully performed the reduction rhinoplasty using closed rhinoplasty technique to reduce the size of the nasal framework. Intranasally, bulky tip of the nose was reduced by removing the caudal portion of nasal septal cartilage. Lateral osteotomy was done to reduce the width of the nose. Everted tip of the nose was corrected by augmenting the dorsum of the nose using the cartilage obtained from the lateral nasal septal cartilage. The surgery was done from inside the nose to avoid scarring. Intraorally mandibular setback done and chin advancement done using advancement genioplasty. Immediately following surgery the nose appeared proportionate greatly enhancing the facial appearance.