Rhinoplasty is plastic surgery that is performed on the nose to improve its shape or function. One of the most popular techniques is open rhinoplasty which is where the surgeon makes any incisions inside the nose as well as a small incision that goes across the columella (the skin strip from the top of the nose to the upper lip that separates the nostrils). This allows the surgeon to better view the areas to be changed inside the nose. Open rhinoplasty allows the surgeon access to all of the soft tissues underneath the outside of the nose. However, it does leave a visible incision that will heal over time.