This video presentation will demonstrate the use of the external rhinoplasty approach in combination with the use of structural grafts for correction of a nasal deformity. The patient in the demonstration has a bulbous nasal tip, supra-tip fullness and a low bridge. The operation demonstrates the use of structural grafts such as a columellar strut, tip graft and alar rim grafts. Additionally, the nasal bridge was augmented with a double layer dorsal graft to create balance between the upper and lower third of the nose.