Maxillofacial Surgeon Dr. S. M. Balaji planned to correct her flattened nose by following closed augmentation rhinoplasty. Costochondral rib graft was harvested which was used to augment the dorsum of nose. To prevent scarring, the graft was inserted through intranasal approach. Bulky nose tip was corrected by removing caudal portion of nasal septal cartilage. Results are immediate, patient is very happy to have a sharp, pristine nose without any surgical marks, which suits her facial profile.