This patient is a thirty-six year old male who underwent a closed rhinoplasty, which is also called an endonasal approach. Details of this rhinoplasty include refinement to the bridge, elevation of the nasal tip and release of the tip-plunging ligament. The plunging ligament of the tip pulls the nasal tip downward upon smiling. Now that this ligament has been released, his nose remains straight when he smiles.