An American patient has visited me for revision surgery. She had done several unsuccessful rhinoplasty surgeries in the United States. She is complaining about hanging columella, long nose, and a droopy tip. Nataly has requested that Dr. Amir Sajadian that her nose tip would be upward and the nose entirely to be small and unnatural as she prefers. In the video the surgeon had fixated the position of her nose tip with tongue in groove (TIG) technique to disallow the nose to droop immediately after surgery.