ABSTRACT
Nasal surgery requires careful analysis of the patients problems, detailed plan ning and meticulous operative technique. Specific nasal problems must be detailed in order to understand the patient s likes and dislikes about the nose. External and internal examinations are necessary to understand the complex three-dimensional anatomy and define the aesthetic and functional problems. Rhinoplasty is a proce dure in which subde changes in anatomy often make profound differences in ap pearance, making this one of the most challenging yet elegant procedures in the plastic surgery. Although rhinoplasty is a complex procedure, according to the Ameri can Society of Plastic Surgeons (ASPS), over 350,000 rhinoplasties were performed in the United States in 2003, making it one of the most common cosmetic surgical procedure.