This patient in her 20s is a singer and wanted to avoid any treatment that would affect her voice.  She was bothered by her inability to breathe as well as the tip of her nose.  She was found to have a deviated septum to the left, enlargement of her turbinates, and a poorly defined nasal tip.  She underwent a very slight hump removal, placement of a right sided spreader graft to straighten her septum and prevent collapse of the right side of her nose, placement of a columellar strut graft to further support her nose, septoplasty, and partial resection of the head of the inferior turbinates.  Her breathing has never been better since surgery and she notes that her singing power has also improved from the increased air flow.  She is very pleased.