Maxillofacial surgeon Dr. S.M. Balaji successfully performed the rhinoplasty to correct the alar deficiency. Deviated septum was corrected. Footplate of the medial crus on the left side was removed. Using Denonvillier’s Z-plasty technique lower lateral cartilage was brought down to reduce the columellar show on the left side. Both nostrils were made symmetrical improving the appearance of the nose and enhancing the facial profile.