Thisman from Maryland had a broken nose from a sports injury. He also had nasal congestion and obstruction, in addition to... twisted nose. The nose was severely deviated with a droopy tip. He underwent functional rhinoplasty via an endonasal approach, septoplasty, and cartilage grafting. His nose has improved symmetry and better balance with the rest of the face. His nasal breathing has significantly improved with the rhinoplasty surgery.