Dr. Rizk does not break the bones in every rhinoplasty surgery. The nasal bones are broken in about 50% of rhinoplasty surgery and it is done to narrow the nasal bridge if a large hump is removed. Sometimes Dr. Rizk alters only the nasal tip which is made of cartilage and does not touch the bridge and in these cases, there is no breaking of bones either. Dr. Rizk points out that most of the nose is made of cartilage and significant alteration can be achieved without breaking the bones. If the bones are broken, it is a precise break done with a minimal internal incision under visualization with the 3D telescope. Dr. Rizk does not break the nasal bones blindly as is done by most rhinoplasty surgeons-He does it with Direct visualization with his high-definition telescope technology.