5 things that a rhinoplasty can change Rhinoplasty is the reshaping of the nose. It is a complex procedure and results can be variable. Experience and knowledge play an important role in consistently good rhinoplasty results. What are the things that a rhinoplasty can reliably change on your nose? My nose is too big The perception that a nose is too big is often incorrect. It may just be that the proportions are not balanced. “Make my nose smaller” is a common presenting statement for a patient. A rhinoplasty can “make your nose smaller”. This usually means readjusting the proportions of the nose for better balance. I have a large hump on my nose Nasal aesthetic surgery can remove bumps on the top of the nose. Dorsal irregularities are common and can be reliably improved with rhinoplasty. The surgeon must be very careful in patients with thin skin to smooth out all underlying irregularities to remove any bumps My tip is too wide A wide or boxy tip can be refined with a rhinoplasty. There are many tip refinement techniques that a modern rhinoplasty surgeon can employ to narrow the tip. Over-narrowing must be avoided; this may create a collapse of the tip supports and lead to cosmetic deformity and nasal obstruction. I have a twisted nose A curve to the entire nose is not uncommon. This can result from previous surgery, previous trauma or a natural phenomenon. This is something that is very hard to correct. The surgeon must always warn the patient that the curve may be improved but not eliminated. The methods to correct this may involve placing tissue on top of the curve or breaking the bones of the nose to reshape them. My nose is blocked Cosmetic nasal surgery always has a functional component. Unless the surgeon is skilled at surgery to improve the nasal airway this may not be appreciated. A person may have no nasal problems, but a cosmetic nasal procedure may alter the nose in such a way that a nasal obstruction results. If the surgeon is not aware of the nasal anatomy, they will not take the necessary steps to avoid this common post-op problem. All nasal surgery should preserve nasal function, maintaining breathing.