Why have rhinoplasty? The nose is one of the most prominent features on the face, making it a focal point. If a person feels uncomfortable because of the shape and size of their nose, and it’s really having an impact on their self-esteem, then rhinoplasty might be a viable option. Some individuals also require rhinoplasty if their nose is crooked and they are having difficulty breathing through one of their nostrils. It’s also a surgery that is undertaken when physical trauma of some kind has caused damage to the nose.