This chapter discusses surgery of the nasal tip, where the graceful contours of the nose culminate at the nasal tip. The aesthetic nasal tip gives final definition to the projection of the nose, its elegance, and symmetry. The rhinoplasty surgeon optimally views the patient’s nose in reference to other facial and physical features, including overall body proportions. The nose projects anteroinferiorly from the forehead from a point just inferior to the glabella, a flattening or depression in the central forehead. The nasal tip is the central feature of the mobile lower third of the nose, adjacent to the infratip lobule, columella, and paired nasal ala. The patient should be screened with an appropriate medical history to verify that the patient is healthy enough to undergo the necessary anesthesia to accomplish the surgery. The nasal examination should include anterior rhinoscopy. A basic rhinoplasty set includes 15-blade scalpel, 11-blade scalpel, nasal speculums, single-prong skin hook, doubleprong skin hook, McCollough elevator, and a straight hemostat.