Surgical rhinoplasty is normally done as an outpatient procedure under general anesthesia. If required, patients can arrange to stay in the hospital overnight after the surgery.
During the surgery, incisions are made, through which the surgeon accesses bone and cartilage that support the structure of the nose. Incisions may be made inside the nostrils; this is a closed rhinoplasty. Another option is making an incision on the columella, the area of skin between the nostrils; this is known as open rhinoplasty.
After the incisions are made, the surgeon will reduce, augment, or adjust soft tissue, bone, and/or cartilage, depending on the patient’s functional and aesthetic goals.
When the reshaping and resizing is done, the soft tissues that go over the bone and cartilage are redraped and the incisions are sutured closed.
After the surgery, a small plastic splint may be placed on the outside of the nose. This serves to support the new shape as the nose heals, and it also helps to minimize swelling. Inside the nose, some soft nasal support may be placed, which will help to stabilize the septum and maintain the new shape.