Nose Job Procedure

 

Most rhinoplasties are performed on an outpatient basis in a hospital or surgical suite. Exactly how long the procedure takes depends on the type of rhinoplasty that is performed. For example, a primary rhinoplasty normally requires one to three hours in surgery, while a revision rhinoplasty can take much longer. A filler rhinoplasty can take just 15 minutes.
Anesthesia.Your surgeon will likely recommend local anesthesia with some sedation or general anesthesia for your primary rhinoplasty. A secondary rhinoplasty may involve general anesthesia due to the complexity of the procedure. A filler rhinoplasty requires just local anesthesia.
The Incision. Surgery of the nose is performed either using a closed procedure (where incisions are hidden inside the nose), or an open procedure (where an incision is made across the columella). The surgeon then raises the soft tissues that cover the nose through these incisions. This provides access to reshape the structure of the nose.
The reshaping. Your surgeon can reduce or augment nasal structures with cartilage grafted from other areas of your body. These pieces of cartilage can come from the septum or occasionally from the ear or the rib cartilage. If the septum was deviated, this should straighten it. In addition, any projections inside the nose will be reduced to improve breathing.
Closing the incision. Once the underlying structure of the nose is sculpted, the nasal skin and tissue are redraped and the incisions closed. A cast or splint may also be applied.