The Rhinoplasty Society (TRS)
Primary rhinoplasty is the term given to an operation of the nose that is designed to change or reshape the nose. Primary is used to denote that it is the first operation ever performed on that nose for those reasons. Because many patients desire further changes to their nose, the term secondary rhinoplasty does exist to define those operations.
Primary rhinoplasty generally has the goal of improving the appearance of the nose. The operation is performed by elevating the skin from the underlying structures, and then altering the bone and cartilage that makes up the structural aspects of the nose. The skin is then put back down on to the structures and the nose is left to heal.