Most patients who requested rhinoplasty are concerned with the shape of their nose and usually feel one area or the whole nose is too large. The nose must be viewed as a complex structure made up of many structures which need to blend together with the rest of the face. No operation is right for every patients. The surgery must be carefully planned to respect the need for balance and proportion in each patient. That is why, rhinoplasties which were done in earliest years and which are still done by some surgeons, involve reduction of cartilage. This shaves off, narrow the bones and shorten the nose. This often produce a nose that eventually looks like it has been partially ampulated and may even look mutilated.