The nose is in the center of the face and, as a result, it is one of the most prominent and defining features. The nose should blend into the face and not draw attention. A nose that is out of proportion or asymmetric can throw off facial balance, have a negative impact on overall appearance.
Rhinoplasty is a surgical procedure that changes the shape of the nose. It can be done for the sole purpose of improving the appearance of the nose (cosmetic rhinoplasty) or to improve breathing (functional rhinoplasty). Usually a surgical correction that is done to improve breathing, will also result in improvement in the appearance. The best example is a fractured, crooked nose that is straightened to restore airflow. Purely cosmetic alterations to the nose can also be performed at the same time as a functional improvement. For example, removal of a large bump on the bridge or reduction of large bulbous tip can be performed at the same time as correction of a displaced nasal fracture.
Keep in mind that the best looking nose is one that balances with the surrounding facial features. There is no such thing as “a perfect” nose. A small delicate nose with an upturned tip may look great on a short petite patient with delicate facial features. The same nose would not look good on a person with broad heavy cheek bones a full lip and a prominent jaw.
Virtually any feature of the nose can be altered surgically. This includes the size and projection of the tip, the width and length of the nose, the height of the bridge, and the width of the base. Again, it is important to remember that changes in the external appearance of the nose can affect breathing. Therefore the balance between appearance and function must always be considered.