Primary cosmetic rhinoplasty.

The last 2 decades have witnessed significant changes in both technical and philosophic aspects of rhinoplasty surgery. Many of these changes are designed to provide more predictable, lasting, and enhanced cosmetic results of surgery without compromise of function. Although the aim of this procedure remains unchanged, the techniques and methodology have evolved. What is also continuously changing is the patients' requests and expectations of favorable cosmetic outcome. This article outlines the basic concepts that are essential in performing cosmetic rhinoplasty.