This 19-year-old female was referred to our office by her orthodontist who recommended lower jaw advancement to correct her retrognathic bite and was astute enough to recognize that her nasal deformity was also contributing to the retruded appearance of her lower jaw.  She underwent simultaneous orthognathic (jaw repositioning) surgery as well as open rhinoplasty by Dr. McLain to correct her prominent nasal hump, as well as narrow and elevate her nasal tip.  Several months after surgery it is apparent the beautiful difference combining these surgeries made.