This three-volume book is based on 30 years of experience with Structure Rhinoplasty chronicling changes made in the technique based on favorable and unfavorable outcomes. This book is not meant to be a comprehensive rhinoplasty text but actually is a running commentary on how I have dealt with undesirable outcomes and how I have taken the initiative to change my technique to improve my outcomes. Rhinoplasty has been a life-long passion of mine and this collection of observations provides insight into how I came to my present techniques and philosophy for performing rhinoplasty.