This was an incredibly challenging revisional case. The patient had multiple nasal fractures and multiple attempts at repair. He was left with a near hopelessly irregular dorsum with cutaneous scarring, as well as a horribly deflected nasal septum which gave him a "boxer's deformity," also known as a "saddle deformity," a dependent tip and a very compromised nasal airway. The operative photographs illustrate how some of his ear cartilage was used to replace the cartilage that had been devastated. The subnasal view shows how his nasal airway was essentially completely obstructed.