A rhinoplasty is designed to change the outward appearance of the nose. It is not a procedure that is intended to improve breathing. If breathing is a problem, a patient may require a septoplasty or turbinate reduction. The septum is the wall between the two nasal passages. Sometimes, it is deviated (crooked), thereby decreasing the air flow on one side of the nose. There are structures inside the nose called turbinates. These are outward projecting structures on the outside wall of the nasal passages. Sometimes, they become enlarged and reduction of the turbinate may improve breathing.