Over aggressive surgery of any type, especially nasal surgery, is very noticeable. The sides pinch in, the skin fails, the tip droops, the top becomes depressed and shows irregularities, not to mention what happens with the breathing. So not every rhinoplasty ends well. Every patient should research their surgeon carefully, see many before-after pictures, and have the feeling that they trust the decision making of their doctor. Most patients who have had a fabulous result with their rhinoplasty only are complimented on their appearance overall. Did they lose weight? Is their hair different? Even patients with amazing before-after pictures should not be pegged as having had a rhinoplasty.