Structural  Finesse Rhinoplasty involves the reshaping of the nose often via an open approach ( small incision on the columella) to create and shape the nose often with the use of your own cartilage to bring definition and structure to a nose that is lacking in both. By using this technique a nose is created that will withstand the forces of scarring over time. Tip reshaping and improving the profile can be accomplished with direct visualization of all structures of the nose and is often the preferred technique to correct structural problems in the nose that cause difficulty with breathing . This technique can also be combined with preservation rhinoplasty for optimal results.