Rhinoplasty is the most common facial plastic procedure done in the United States, with over 200,000 operations performed each year. The nasal complex is critical not only to the proper functioning of a patient’s breathing and airflow but also as a component of facial aesthetic harmony. Rhinoplasty can be done using several different techniques, with the most simple differentiation being through a closed versus open approach. One of the greatest challenges of performing a rhinoplasty is the required attention to detail and meticulous framework design that must be taken into account in order to provide both a functionally sound and cosmetically appealing nose to the patient.