A commonly overlooked aspect of rhinoplasty is the relationship of the rim of the nostril (alar) and the center post between the nostrils (columella). On profile there should be a few millimeter space between these structures. If there is a greater distance between the rim and the center post the lining of the nose may show. This is unattractive and is referred to as alar columella disharmony. It can occur naturally or as a result of rhinoplasty. It can be corrected by moving the rim and the center post closer to each other as seen in this revision rhinoplasty patient.