Nasal Surgery (Rhinoplasty and Septal Surgery), Rhinoplasty usually takes an hour, although complicated procedures may take longer. During surgery, the skin of the nose is separated from its supporting framework of bone and cartilage, which is then sculpted to the desired shape. The nature of the sculpting will depend on your problem and your surgeon's preferred technique. Finally, the skin is redraped over the new framework. All rhinoplasties are done with the "closed" technique, avoiding a scar on the bottom of the nose.

Many plastic surgeons perform rhinoplasty from within the nose, making their incision inside the nostrils. Others prefer an "open" procedure, especially in more complicated cases; they make a small incision across the collumella, the vertical strip of tissue separating the nostrils. 

After surgery, a splint will be applied to help your nose maintain its new shape.