Rhinoplasty is the medical term for a ‘nose job’. Rhinoplasty is a frequently requested procedure of the patients I see in my office. Patients often ask to have the nose ‘made smaller’, ‘take the hump away’, ‘make the tip finer’ and the nose ‘narrower’. These are all taken into consideration in preparation for surgery. My goal is to change the nose to where it is in better proportion to the face, producing a pleasing appearance. Some individuals achieve their optimal results by adding a chin augmentation as seen in the Vectra 3D simulation animation. An ‘open’ rhinoplasty is where a small incision is made on the columella of the nose to better visualize the abnormal structures that require alterations or for proper access to reconstruct the nose with cartilage rib grafts.