Rhinoplasty in achieving total facial harmony.

Surgical alteration of the nose has challenged surgeons for decades and rhinoplasty is often described as one of the most difficult aesthetic procedures to master. As in the case of planning the orthognathic patient, there is a blend of aesthetic and functional goals. While patients may primarily present for cosmetic reasons, the maintenance of functional nasal airways in the pursuit of an improvement in facial balance is essential. It is the purpose of this paper to present the assessment and management of common nasal deformities, some of which are integrated within simultaneous orthognathic surgery.