Introduction <p>Rhinoplasty surgery involves multiple specialties and often leads to respiratory and olfactory complaints. This study examines the impact of rhinoplasty on nasal function and patient satisfaction, aiming to enhance quality of life.</p> Objective <p>To assess the effect of rhinoplasty on nasal breathing and olfactory function.</p> Materials and Methods <p>This longitudinal, single-center study included 62 patients undergoing rhinoplasty from April 2023 to April 2024. We evaluated nasal obstruction, olfactory function, and patient satisfaction using NOSE, ROE, and SAOQ scales at baseline, 6&#xa0;months, and 1&#xa0;year post-surgery.</p> Results <p>Rhinoplasty significantly improved nasal obstruction and satisfaction with nasal appearance. Notably, nasal obstruction decreased and patient satisfaction increased from baseline to 1&#xa0;year post-surgery. Males reported greater satisfaction improvement compared to females, while smokers experienced more nasal obstruction at 1&#xa0;year. Age and nasal trauma history had minimal effect on outcomes. Most patients reported relief from nasal congestion and improved olfactory function post-surgery.</p> Conclusion <p>Rhinoplasty enhances nasal function and appearance, with smoking impacting long-term results. Future research should explore diverse populations and the long-term effects of rhinoplasty.</p> Level of Evidence III <p>This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors <a href="http://www.springer.com/00266">www.springer.com/00266</a>.</p>