At the beginning of the surgery, a rhinoplasty expert makes incisions inside each nostril of the patient, separating the skin from the underlying bone and cartilage for hump nose correction. Then, a specialized cosmetic tool, similar to a chisel, is used to modify the nasal bone structure. Through a process of hammering and grinding, the shape of the nasal bridge can be reduced. For larger modifications, the doctor may perform more precise and detailed bone fractures, which can cause more severe bruising and swelling. This is also the main reason for darkening of the skin around the eyes after surgery. The doctor will fracture wider bones and then reposition and recombine them to achieve the desired aesthetic effect. Finally, the alar cartilage is adjusted. After the surgery, the incisions are sutured with absorbable stitches, and medication is used to control bleeding or other conditions.
During the internal healing process of the nose, packing material is inserted to maintain the shape. This sponge-like material has memory properties, always returning to its original shape. A splint will also be placed on the outside of the nose. All these measures are taken to maintain the post-surgical shape of the nose.