This such a nice patient suffered a nasal trauma around the age of 12 with a basketball resulting in a complete destruction of the nasal septum. The septum functions as a central pillar in the nose that mainly supports the lower 2/3 of the nose. This total septum replacement is a very complex case whose only chance for a stable and lasting correction involves the use of rib cartilage. Only 3 months have passed since the surgery but it is already possible to see a huge improvement in the patient’s nose. The proportions are so natural that it is as if there was no trauma and the nose has grown normally until adulthood. I am very grateful for the trust me with your rinoplasty and for having authorized the sharing of the case.