Why is rhinoplasty difficult?

The quick answer is that rhinoplasty surgery is not cookie-cutter surgery where one size fits all. To perform rhinoplasty well, a plastic surgeon has to perform a proper assessment of the problem(s) at hand, make the correct decisions of what maneuvers must be performed, have the technical prowess to execute said plan and be able to address any curveballs in the healing process. The nose is a three-dimensional structure that can change over time, sometimes healing in unexpected ways. Furthermore, issues such as nasal breathing and patient satisfaction are very subjective and may not be optimal, even after a successful surgery from the surgeon's perspective.

 Rhinoplasty is a very unique operation that requires not only surgical skill and experience, but artistry and the ability be able to think in a three-dimensional approach. There 2 nasal bones, 4 cartilages, the septum and the skin lining on the inside and the outside of the nose and they're all factors in the healing process. In addition, different skin types contract and heal differently over the cartilaginous framework of the nose. The contraction forces of healing can also distort the nose months later from when the procedure was finished at the end of the surgery. In addition, thin skin allows minor little irregularities to show through, while thick skin thickens even more so, and blunts the effect of the surgery. Since the nose is a three-dimensional structure, it must look good in all dimensions, and it must breathe appropriately. Experience performing rhinoplasty  is of the utmost importance, so choose a rhinoplasty surgeon based on that premise