One notable characteristic of Asian rhinoplasty is that many patients simultaneously require both reduction and augmentation. Asian rhinoplasty surgeons encounter patients who have a hump nose and complain of inadequate tip projection. The need for reduction decreases as the planned aesthetic line of the dorsum is projected more anteriorly. Differentiating pseudo-hump from mild saddle nose is essential due to distinct septal needs. Techniques like septal L-strut extension graft (SLEG) and anterior extended spreader graft (AESG) ensure stable tip projection and low revision rates. Long-term success relies on strong caudal septal support and careful management of the membranous septum for lasting nasal aesthetics.