One can divide side effects into immediate and delayed. Immediate side effects include pain, swelling, slight bleeding, and discomfort in the nose. Eye swelling, watering, and headache due to a blocked nose after surgery are common and usually subside after 3-4 days. Delayed effects, such as persistent swelling, are possible but typically resolve with time. Failure to accomplish the goal is usually due to unrealistic expectations of the patient or over-assurance by the surgeon. Results after Rhinoplasty can be compared to a step ladder, where one can climb a few steps after surgery but not necessarily reach the top step. Results depend on the type and severity of the deformity of the nose, along with the surgeon’s technical artistry and expertise. Therefore, the most important factor is proper understanding regarding the nature of the deformity and having realistic expectations about the results, which will lead to a satisfying outcome for the patient after surgery.