Rhinoplasty is a wonderful and predictable operation. It is one of the procedures in Plastic Surgery that is very predictable and precises in terms of correlating preoperative planning, intraoperative procedure and post-surgical outcome. While the technical aspects of the procedure are the same for men and women, the aesthetic goals are dramatically different. In addition, the nose must fit the personality and ethnicity of the patient. For example, a short upturned nose might be cute on a girl, but not so appealing on a man. A dominant dorsum, or Roman Nose, may be handsome on a man and symbolize masculine strength. However, it would be an epic aesthetic failure on a female. A curved hooked nose is not desirable for either gender. These are some of the aesthetic concerns that I consider in designing a rhinoplasty specifically for that individual patient.