Rhinoplasty or surgery of the nose improves the appearance and proportion of nose, enhancing facial harmony and self confidence. Surgery of the nose may also correct impaired breathing caused by structural abnormalities in the nose. While the shape of the nose is usually the result of heredity, the appearance may have been altered in an injury or during prior surgery. The factors to determine for rhinoplasty are when in comparison to face nose appears too large, a bump on the nasal bridge is visible when viewed in profile, when viewed from the front your nose appears too wide, drooped or plunged the nasal tip, thickened or enlarged nose tip, excessively flared nostrils, off-center or crooked nose, a symmetrical nose due to previous injury. The risks include rupture of small surface vessels of the nose, infection, poor wound healing, anesthesia risks, bleeding, and nose asymmetry, cardiac and pulmonary complications can occur in longer surgical procedures and may be associated with the formation of, or increase in, blood clots in the venous system, change in skin sensation or numbness, nasal airway alterations may occur after a rhinoplasty or septoplasty that may interfere with normal passage of air through the nose, nasal septal perforation (a hole in the nasal septum) may develop but is rare; additional surgical treatment may be necessary to repair the nasal septum but in some cases, it may be impossible to correct this complication, post operative pain, unfavorable scarring, skin contour irregularities, skin discoloration and swelling, sutures may spontaneously surface through the skin, become visible or produce irritation that require removal and possibility of repeat surgery.