Rhinoplasty is often considered the “queen of plastic surgery” because it is arguably the most challenging procedure in all of plastic surgery. Changes are measured in millimeters, so precision is paramount. Revision rhinoplasty is even more challenging because Dr. Velargo often has less native tissue to work with (cartilage is often deficient), and scar tissue must be accounted for. In many cases, the structure of the nose may need to be rebuilt entirely.