Dr. Schrader begins by making incisions within the nasal passages to access the internal bones and cartilage that support the nose. Depending on the desired result, Dr. Schrader may remove some bone and cartilage or add tissue from another area of the body or with a synthetic filler. After Dr. Schrader has rearranged and reshaped the bone and cartilage, she redrapes the skin and tissue over the structure of the nose and places a splint outside to support the new shape of the nose during the healing process.