Three months after open septorhinoplasty with reconstruction of the internal nasal valve using spreader grafts and outfracture of the nasal turbinates, this patient is already experiencing improved nasal airflow and a more balanced nasal appearance. The procedure corrected nasal airway obstruction by widening the internal nasal valve while preserving a natural nasal shape. Early post-operative photos also demonstrate improved nostril symmetry and support, with continued refinement expected as healing progresses over the coming months.