A nose job is usually done as an outpatient procedure, meaning there is no overnight stay. You'll get general or local anesthesia. With general anesthesia, you'll sleep through the operation. With local anesthesia, you will be sedated and your nose will be numbed so you are relaxed and unable to feel the pain. During an operation, the surgeon makes cuts within the nostrils. In more difficult cases, the surgeon may also make cuts across the base of the nose. The surgeon then reshapes the inner bone and cartilage to produce a more pleasing appearance.