Rhinoplasty is one of the most challenging procedures in facial plastic surgery and consideration must be given to both facial aesthetics and nasal function . It is technically difficult to achieve consistently excellent results and , as the surgery is on the most prominent part of the face , the aesthetic outcome is visible to all . That’s why this procedure must be accomplished only by an experienced rhinosurgeon. First step for a succesful result is an appropriate pre-operative plan ( analysis of the nose , analysis of the face , examination ) . Specialization in rhinosurgery permits in one single operation and by the same surgeon optimal functional restoration of the nose, along with its aesthetic improvement(alter the shape of the nose, increase or reduce the length and projection, reshaping nasal tip and nostrils ) . The surgeon must place the problem in its real basis and explain to the patient what is right for him and what is not, so that the expectations for outcome to be realistic. He should not satisfy the patient’s wishes if he considers that they do not fit his face, nor should he borrow models from modern idols, since each face is unique, has its own structure and any surgical intervention ought to be planned based on this structure. Access to the nose is made by a small incision, externally (open rhinoplasty) or internally (closed rhinoplasty), depending on the needs of the operation. During surgery, the skin is managed in such a way that there is access to the skeleton of the nose (bone, cartilage) so is possible to give the proper shape. In the end of the proceudre it’s placed a plastic splint on the nose, which needs to stay for a week.