designed to be read section by section in the order in which it is presented. I would then recommend a re-reading of the first section so that the tenets laid down in this area are more readily understood after having experienced the tech nical presentations. The serious student will then utilize the book as an atlas of techniques that can be conveniently referenced when needed in any particular situation. All surgeons should then use any new information as a beginning plat form of information from which to develop and refine their own experience, col lecting and analyzing their own personal library of techniques, as they advance though this most wonderful and satisfying Discipline. PHILOSOPHY/ P LAN NIN G/ART iil PHILOSOPHY OF SUCCESSFUL REVISION RHINOPLASTY CONFIDENCE The key element necessary to succeed in any endeavor is confidence. This is observed very obviously in sports like tennis and in technical skills like shooting. However, in surgery in general and in revision surgery more specifically, the ele ment of a confident surgeon is paramount to the successful completion of the operation. The confidence factor of a surgeon is, of course, determined by many things. Most surgeons are inherently confident. However, the supreme confi dence necessary to complete a difficult and challenging revision rhinoplasty must be meticulously acquired. Initially, confidence is gained with experience, supplemented by reading, direct observation, and studying videos.