Within the specialty field of otorhinolaryngology and head and neck surgery, subspecialties have developed that focus on specific types of problems. We are all familiar with the various subspecialty fields and recognize that there are areas of overlap. The surgical treatment of nasal obstruction is a large topic. We have divided this into two issues, one with a primarily rhinologic flavor, and this issue with a more facial plastic perspective. Of course, there is overlap; furthermore, we expect that all of the subjects discussed will be familiar to all otorhinolaryngologists. Nevertheless, otorhinolaryngologists and facial plastic and reconstructive surgeons who have focused their energies on functional and cosmetic septorhinoplasty do offer a unique perspective and experience of the surgical management of nasal obstruction, and this perspective is highlighted in this issue. Many of the articles focus on complex problems related to the septum—treating the caudal septum, a discussion of complications of septal surgery including their avoidance and management, and when to consider the open rhinoplasty approach to septal surgery. Surgical pearls for septoplasty are also considered. Functional rhinoplasty also naturally receives significant attention in this issue, with consideration of surgical treatment of the saddle nose, treatment of nasal obstruction in the traumatized nose, treatment of dorsal deviation, and surgical and nonsurgical treatment of the nasal valve. Piriform aperture stenosis, a less common form of nasal obstruction, is also considered. A number of facial plastic surgical case studies round out this issue.