This is a 30 years old Hispanic male from Los Angeles who had previously undergone nose surgery to fix his broken nose. After his initial nose surgery he was unhappy with his nasal deformity as well as his inability to breathe through his nose. His before nose surgery pictures show that he had a Saddle-nose deformity and nasal deviation. His goal for nose surgery was not only to make his nose look normal but more importantly to improve his nasal breathing. Patient underwent open rhinoplasty reconstruction with spreader cartilage graft in order to fix the dent on his nose as well as to open his internal nasal valve. This complicated nasal reconstruction surgery was performed by Dr. Sean Younai who is a board certified plastic surgeon specializing in revision nose surgery. The nasal cartilage graft used for his nasal reconstruction was harvested from his ear cartilage through an inconspicuous incision behind the ear.