Rhinoplasty (nose reshaping) usually takes an hour or two, though complicated procedures may take longer. During surgery the skin of the nose is separated from it's 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 Dr. Sproule's preferred technique.) Finally, the skin is redraped over the new framework Some rhinoplasty is perfromed from within the nose, making their incision inside the nostrils.
Dr Sproule may choose to perform an "open" procedure, especially in more complicated cases; a small incision is made across the columella, the vertical strip of tissue separating the nostrils. When the surgery is complete, a splint will be applied to help your nose maintain its new shape. Nasal packs or soft plastic splints also may be placed in your nostrils to stabilize the septum, the dividing wall between the air passages