It was very common 20 or 30 years ago for patients to have similar rhinoplasty results, typically with an over resected nasal dorsum that left a \\u201cscooped out\\u201d appearance and an over resected nasal tip which left a \\u201cpinched\\u201d look. The nose often did not \\u201cfit\\u201d the face properly and left a very \\u201cplastic looking\\u201d nose, sometimes with breathing difficulties. Today, most surgeons perform a rhinoplasty that will improve the appearance of the nose but just as importantly maintain adequate function.