Rhinoplasty (RPT) is one of the most commonly performed cosmetic and functional procedures in facial plastic surgery worldwide. More than 200,000 cases are performed each year in the United States. This reconstruction technique is rarely performed in West Africa. After reviewing the literature, no cases have been reported to date. It is in this context that we undertook this work, which aims to describe the technical aspects and results of a functional rhinoplasty case treated in the maxillofacial and plastic surgery department of the military hospital in Dakar, with a review of the literature. We report on closed rhinoplasty for post-traumatic nasal deviation with functional impairment in a 31-year-old police officer who was referred to the department for a specialist consultation reconstructive plastic surgery. The surgical approach consisted of nasal reconstruction combined with septoplasty using the endonasal approach technique under general anesthesia. Four months after surgery, the patient was very satisfied with the morphological and functional results. African noses are generally described as having thick skin and abundant subcutaneous fibro-adipose tissue. The success of the procedure is based on functional and/or aesthetic results and is reflected in patient satisfaction. This African rhinoplasty requires a fundamental understanding of acceptable beauty standards, the associated psychological underpinnings, and the facial and nasal characteristics specific to Africans. Considered one of the most complex procedures, this reconstruction technique deserves to be mastered and practised in Senegal and even in West Africa in order to reduce medical evacuations and medical tourism.