Nasal Surgery (Rhinoplasty)... Every year half a million people consult facial plastic surgeons regarding changes in their nasal appearance. Some are unhappy with their nose’s shape, others have sustained nasal trauma or simply have difficulty breathing through their nose. Rhinoplasty surgery is performed to address cosmetic and/or functional concerns with the nose. For strictly cosmetic rhinoplasty, the size and shape of the nose is brought into harmony with other facial features so that people see the entire face, not both a nose and a face. In select cases, augmenting the chin can give an added improvement I facial symmetry and accentuate the youthful angle of the neck. Functional improvement I the nasal airway to repair previous traumatic injuries may be covered by insurance. We suggest that rhinoplasty be performed under general anesthesia with an anesthesiologist for both patient safety and comfort.