You may also hear the terms “primary” rhinoplasty, referring to the first nasal procedure, and “revision” rhinoplasty, implying that you have had at least one rhinoplasty in the past. Revision procedures are often more complex given existing scar tissue, and are more likely to require an open technique. You should also consider if you desire a purely “aesthetic” correction, or if your complaints are mainly “functional”. For many of our patients, improving the aesthetic and functional components of the nose is required.