For patients dissatisfied with the size or shape of their nose, a rhinoplasty can be performed for reshaping purposes. In cases where there is some associated breathing obstruction, internal nasal surgery such as a septoplasty may need to be performed. A rhinoplasty often involves removal of a hump, refining a bulbous or thick tip, and narrowing a nose. This can improve the proportionality of the nose to other facial features and thereby create a more smooth and harmonious appearance.