There’s a common misconception that rhinoplasty involves breaking the nose, but this is not necessarily true. In some cases, I may need to create a controlled break in the bone, called an osteotomy. This is a tiny break that allows me to reshape or reposition your nasal bones. Like the rest of your surgery, this takes place while you are comfortably under anesthesia, so you don’t feel a thing. An osteotomy may leave you with a little extra swelling and bruising during recovery, but this typically subsides within a couple of weeks.