Aesthetic rhinoplasty is one of the most difficult facial cosmetic procedures to master. However, the oral maxillofacial surgeon involved in orthognathic, trauma, and reconstructive surgery is well positioned to incorporate rhinoplasty procedures into his/her practice. As for all surgical procedures, the basis of learning rhinoplasty techniques is a clear understanding of anatomy and physiology. While oral and maxillofacial surgeons often manipulate and influence the structures of the nose during orthognathic and trauma surgery, a more precise understanding of the nasal structures and their functions than is required for these surgeries will help avoid misdiagnosis and surgical mishap. The ability to differentiate between simple and complex nasal deformities will help oral and maxillofacial surgeons make an uneventful progression when incorporating rhinoplasty procedures into their practices. This lecture is intended to be an introduction and brief overview of the anatomical basis of rhinoplasty, patient selection, closed and open rhinoplasty techniques, postoperative management, and complications.