NOSE Rhinoplasty   Rhinoplasty or a nose job is one of the most frequently performed plastic surgery procedures. Its aim may be reducing the size of your nose, changing the nose tip, the bridge, and the nostrils format or even altering the angle between the nose and the upper lip. Rhinoplasty can still correct a birth mark and also improve nasal breathing. PRIMARY RHINOPLASTY The first-time nasal surgery is referred to as Primary Rhinoplasty done to meet whether cosmetic or medical purposes. Dr. Pitombo's goal in primary rhinoplasty is to create the nose the patient wants. He designs an individualized operative plan for each person, based on the patient's desires and his own surgical experience, which leads to the best, most natural looking results. SECONDARY RHINOPLASTY Those patients dissatisfied with the results of a previous nose procedures are the potential candidates for a Secondary Rhinoplasty. The patient who has cosmetic or functional problems following primary rhinoplasty deserves both special attention and the highest surgical expertise. The Special Nose   Dr. Pitombo's extensive experience allows him to correct even the most challenging primary nose. He can successfully treat a broad range of problem areas, including difficult tips, length issues, skin sleeve problems, size issues and nostril distortions.