Modern rhinoplasty has evolved over the course of a century, otolaryngologists and plastic surgeons have promoted the development of rhinoplasty in their respective fields. This article describes the development history and clinical progress of modern rhinoplasty, including functional rhinoplasty evolved from rhinology and cosmetic rhinoplasty from plastic surgery. The importance of functional preservation is increasingly recognized in rhinoplasty as the technique evolved from reduction rhinoplasty to structural rhinoplasty and, in recent years, to preservation rhinoplasty. With the development and integration of disciplines, the concept of functional rhinoplasty needs to be further expanded to accommodate future developments of rhinoplasty.