This Toronto area young man felt his nose was overprojected and was markedly asymmetric. From the view from below one can see the significant difference between the two nostrils. External approach rhinoplasty was required to improve the asymmetry. By reshaping the tip cartilages and with asymmetric nostril (alar base) reduction symmetry is much improved. In male rhinoplasty Dr Rival feels it is important to maintain a strong male profile. Notice nice healing of the external approach incision.