The ability to accurately sculpt the nose to aesthetic ideals requires a fundamental knowledge of the architecture, anatomy and physiology of the nose. It is also important for patients to understand the basic anatomy so that we can effectively communicate regarding the issues of concerns. It is essential that both physician and patient understand and agree on the issues as well as the plan for surgical intervention. For this to happen, both parties must communicate with common terms. Outlined below are a few of the fundamental facts and features regarding rhinoplasty.