Rhinoplasty operation consists of removing excess bone or cartilage and then rearranging and reshaping the remaining nasal structures. In all but a very few cases, the incisions are made entirely within the nose. Generally, bone and cartilage over the upper two-thirds of the nose is reduced in height and is also narrowed. Occasionally, augmentation rather than reduction is necessary if too much has been removed from some prior surgery or if it has been depressed from previous trauma. Augmentation is also used many times for the “Westernization” of certain Asian noses. Finally, the tip cartilages are made more delicate and aesthetic by means of selective resection, rotation and reshaping.