Happy to share photos of a young man after revision rhinoplasty! This patient had a saddle nose deformity after a prior procedure. What looks like a “hump” or a “bump” is actually a loss in bridge height from sagging or “saddling” of the nose. This happens when key structural components are lost, like the septum. The septum is a central pillar in the nose that is responsible for bridge height and tip position. This young gentleman needed reconstruction of his septum with rib graft.