Rhinoplasty is the most difficult cosmetic procedure to perform. Because of the nose's central position on the face, it is in view at all times. This allows patients to focus on any perceived deformity to excess. Dr. Shah believes that it is important to create a nose that fits the other features of a person’s face. Often times the nose that has been bothering a patient, is only troublesome because it is out of place with the rest of the face. A well-performed rhinoplasty blends a nose in to its surroundings. This creates the best nose for a patient. Dr. Shah takes time to listen carefully to a patient so that he can really understand what bothers them and better understand what motivated them to seek out rhinoplasty surgery. Dr. Shah also performs rhinoplasty simulations to help get a better understanding of a patient’s cosmetic surgical goals for their nose. Dr. Shah stresses that simulations are not a guarantee or a warranty of any particular outcome, but that they are a better way to understand the needs of the patient.  Revision rates for rhinoplasty surgery nationally run 30-50%, but because of careful and exacting preoperative and intraoperative management of each patient, his revision rate for all patient is under 10%.