A septoplasty (or nasal septoplasty) is surgery that improves breathing. These cartilages, also known as lower lateral cartilages, make up the nasal domes. An open rhinoplasty procedure involves making a tiny incision on the base of your nose in order to lift the skin. This is one of most common plastic surgery procedures in the world. The gaps may also be closed by inserting thin cartilage struts. There are many factors that make it difficult. This allows for the most precise and predictable sculpturing of, corrections, and re-supporting of the nasal tissues. These changes have a small margin of error because they are so minor. For closed rhinoplasty on the other side, incisions are made inside the nostrils. Rhinoplasty is a challenging operation. After the procedure, delicate fine-gauge sutures are used to close the skin. Your surgeon must have a keen aesthetic eye and a thorough understanding of the anatomy of your nose. An open rhinoplasty is performed by making an incision through the columella (the skin that separates your nostrils). Millions of people undergo it every year. The surgeon will help you to understand all the benefits and risks of surgery, and can create a customized plan for your needs.