This real rhinoplasty surgery video by Dr. Hosnani clearly demonstrates the precise and scientific stages of the procedure. Before surgery begins, the patient is asked to take 8 professional studio photographs of the nose from different angles. These photographs are placed in the operating room, and the surgeon regularly refers to them during the operation so that nasal changes can be carefully monitored step by step. The procedure is performed under general anesthesia, meaning the patient is completely asleep during surgery and does not feel any pain or sensation. For patients who require major structural changes to the nose, the open rhinoplasty technique is selected. In this method, a delicate incision is made in the middle part of the nasal base, between the nostrils, and internal incisions, which are not visible, are also created to access the internal nasal structures. The nasal skin is gently and carefully separated from the underlying framework and lifted to provide access to the cartilage and bones of the nose. Various changes are then performed, including shaping the nasal tip with sutures, bending it, or, when necessary, strengthening it with cartilage harvested from other parts of the nose. The nasal hump is removed using an instrument called an osteotome and then smoothed with a rasp. Next, lateral osteotomies are performed to narrow the nasal base and shape the bony framework. This step is carried out using a hammer and osteotome, while the surgeon repositions the bones with fingertip pressure. This stage is the main reason for swelling around the eyes after surgery. Finally, the skin is repositioned over the new nasal framework, and the sutures are placed with great precision to minimize scarring. The incision mark usually fades completely after about 6 months. If necessary, special nasal tampons are placed inside the nose for 24 hours. Afterward, nasal tape and a splint are applied and should remain in place for one week. These surgeries are designed according to each individual’s aesthetic and cultural standards to achieve a natural result that is harmonious with the face.