During the operation the skin is lifted from the nose skeleton (skin and cartilage). The bony and cartilaginous structures are then given the required shape.
The extent of contouring of the bony and cartilaginous structures depends on the nose deformity and the required shape. Once the correction of the bone and cartilage is complete, the skin is replaced over the newly shaped nose frame. 

At the end of the operation, a nose plaster or plastic splint is shaped over the nose in order to protect the form of the new nose. After the removal of a hooked nose, the bony parts of the nose are placed together to form a narrow bridge.
The cartilage is similarly trimmed to improve the shape of the tip.

In the case of nasal septum correction at the same time, plastic platelets are introduced into the nostrils in order to stabilise the wall of the nasal septum and improve the angle between the nose and the upper lip. Nose tamponades normally remain in place for 24 to 48 hours.
If the nostrils are too wide, the surgeon can remove small sections of skin at the base of the nose to reduce the size of the nostrils.

To remedy impaired nasal breathing, the shape and length of the nasal septum is corrected to allow free breathing through the nose.