Dr. Gruber has devoted his entire career to both primary (first time) and secondary (second time or more) rhinoplasty. He has taught the subject to his colleagues and residents over the years. At this time he is focusing exclusively on providing consultations to patients who see a second opinion on their nose He has chosen to give the best piece of advice to those who feel they could benefit from his opinion. A computer analysis with morphing is performed. The patient is given a detail analysis of the problem and what surgical maneuvers, in his opinion, are necessary to achieve an ideal result. He is willing to discuss the proposed surgical plan with the surgeon ultimately chosen by the patient.