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. Enlarged turbinates were also trimmed. Results are immediate, patient is very happy to have a sharp, pristine nose without any surgical marks, which suits her facial profile. Also she is happy that she no longer has blockage of the nose and can breathe easily.