Rhinoplasty, or nose reshaping, is a plastic surgery procedure that is generally sought by patients to correct an aesthetic defect rather than a structural defect, although structure can play a role in having nose surgery. Though rhinoplasty is a medical procedure based on science, art is also a critical component. Scientifically, a plastic surgeon must have an excellent understanding of the anatomy of the nose because the nose is not just aesthetic, but more importantly, it is critical for the patients’ breathing. The surgeon has to know how to approach the surgery in terms of harvesting cartilage and other materials from the patient to create solid structure if necessary. Just as important as the science is the art of rhinoplasty. The surgeon can obviously see the present condition of the patient’s nose, but he/she has to have vision and creativity to foresee what will meet realistic patient goals and be beautiful on the patient. There are many components to the art such as shape, width, tip, and angles. The nose the surgeon foresees and actually creates must fit the individual patient. A “cookie cutter” nose will of course work, but will it compliment the patient’s facial features and ethnicity? That’s truly where the art comes in. At the Eisemann Plastic Surgery Center in Houston, Dr. Michael Eisemann has spent over 30 years mastering the art and science of plastic surgery.