Original ArticlesFuture Direction in Rhinoplasty Functional Improvements for a Better OutcomeWo, Luccie M. MD*; Al Bayati, Mahmood BS†; Weber, Lee E. MD*; Habal, Mutaz B. MD, FRCSC‡; Thaller, Seth R. MD, DMD*Author Information *University of Miami, Division of Plastic Surgery, Department of Surgery †University of Miami Miller School of Medicine, Miami ‡Tampa Bay Cranial Facial Center, Tampa, FL. Address correspondence and reprint requests to Luccie M. Wo, MD, University of Miami, Miami, FL; E-mail: Luccie.firstname.lastname@example.org Received 11 December, 2019 Accepted 18 February, 2020 The authors report no conflicts of interest. Journal of Craniofacial Surgery: May 2020 - Volume 31 - Issue 3 - p 750-754 doi: 10.1097/SCS.0000000000006444 Buy Metrics Abstract The nose plays both an aesthetic and functional role in the human body. Physiologically, the nose is an important part of the upper airway. Aesthetically, it is the central focal point of the face. Thus, rhinoplasty has evolved to be both an aesthetic and functional surgery, as the manipulation of the aesthetic subunits of the nose inadvertently leads to the functional alterations of the nose. While the aesthetic goals of rhinoplasty are well described in the literature, functional outcomes from rhinoplasty have been more challenging to delineate. Rhinoplasty can have an impact on the sense of smell, sleep apnea, oxygenation, cognitive function, cardiovascular function, and voice. We have systematically reviewed the current literature in regard to functional rhinoplasty and septoplasty to summarize current surgical maneuvers and their impact on nasal function, along with physiological and perceived functional changes from rhinoplasty. © 2020 by Mutaz B. Habal, MD.