25-34 year old Middle Eastern female with a c-shape deviation of the nose and cleft nasal deformities. The patient wanted to improve the under-rotated and under-projected nasal tip, and the asymmetries of the dorsum and tip. The patient underwent a cleft revision rhinoplasty with rib cartilage graft and fat transfer to her face. In the 4.5 month postoperative photos, you can visualize a straighter nose, an improvement in the contour and proportions of the dorsum and nasal tip. The nose is straighter, the tip is lifted, rotated, and refined.