Book excerpt: This text describes the open structure approach to rhinoplasty, with step-by-step examples of the surgical procedure. Provides numerous case studies of primary and secondary open technique rhinoplasty, including preoperative evaluation, surgical highlights, and precise schematic operative diagrams. Also discusses alar base reduction, harvesting conchal cartilage, chin augmentation, tip grafting and more. Augments in depth descriptions with over 710 color illustrations and photographs, and 200 black and white operative drawings.