The internal septorhinoplasty was the standard operating procedure until the popularity of the external or open rhinoplasty technique. The internal technique of the rhinoplasty should be in the armamentarium of every cosmetic surgeon. There will always be indications for both internal and external rhinoplasty. The advantages of the internal technique are several. Rhinoplasty should be treatment planned based on the individual diagnosis. With experience, most surgeons find the internal rhinoplasty to be successful and extremely rewarding. A simple internal rhinoplasty will produce a good result and satisfied patients.