Rhinoplasty procedures typically last between 3-6 hours, depending on the extent of the necessary surgery, and they are conducted under general anesthesia. Dr. Chow primarily employs an open approach, which involves a small incision at the base of the nose, with most incisions concealed inside the nose. This approach grants improved access to the internal nasal structure, allowing for precise work.

Depending on each patient's unique requirements, Dr. Chow modifies the bone and cartilage framework of the nose to achieve the desired nasal contour. This may include cartilage trimming, folding, or suturing to reshape the nose or improve airway passages. In some cases, nasal bones may need to be shaved down or repositioned. If a patient requires nasal structure augmentation, a cartilage graft may be necessary. Following the procedure, Dr. Chow re-drapes the skin and sutures the small incision located on the columella, the strip of skin between the nostrils. Once fully healed, this incision is completely concealed beneath the nose.