Rhinoplasty is an outpatient surgical procedure done under the effect of local or general anesthesia. The following steps are involved. The area is numbed with the help of anesthesia to reduce the level of pain and discomfort during the surgery. The doctor will make incisions between or under the nose to get a better view of inside the nose. Incision exposes the structure of bones, cartilage and tissues to perform the nose surgery and reconstruct it. Sometimes, additional cartilage is required which is taken from ear or deep inside the nose. After reconstruction, the incisions are closed.