This man, 26, felt he had a big nose and big ears. But he was concerned about losing a masculine appearance if he reduced the size of his nose. After looking for a plastic surgeon in Orlando he came to us. We performed an open rhinoplasty, removing the hump and correcting the nose’s asymmetry. We also reshaped and pinned back his ears to make them less prominent. He is very pleased and no longer feels self-conscious about his facial features.