A typical rhinoplasty includes incisions on the inside of the nose. Sometimes, the nose reshaping can be done through these incisions alone. Very often, however, these incisions are connected at the base of the nose. This allows the surgeon to lift the skin off the underlying structures and actually visualize both sides at the same time. Changes in the cartilage and bone are made under direct vision. This type of rhinoplasty is called an open rhinoplasty. Your surgeon will recommend what he or she thinks is the best procedure for you.