Difficulty in rhinoplasty takes two forms: the aesthetic and the technical. Rhinoplasty surgeons need a sense of beauty to design the target shape, but the shape must comply with the patient often problematic demands. The only appropriate approach is to suggest two or three shapes that suit the patient appearance and expectations, and ask the patient to choose between them. The technical difficulty, on the other hand, lies in assessing the anatomical character of the problem and selecting the procedure that will achieve the desired shape. This textbook will help readers to make accurate diagnoses, simulate the target shape employing generally used retouch software, suggest to patients different target shapes, and learn how to choose the best procedure to produce the selected target shape. It will assist in the performance of rhinoplasties which take into account the individual patient requirements and achieve aesthetic results that guarantee patient satisfaction.