👉 Perineorrhaphy, also known as external rhinoplasty, is a surgical procedure that involves reconstructing the internal structure of the nose. It typically includes the removal or repair of excess skin, muscles, and ligaments that have developed on or between the eyes and the inside of the nose. In perineorrhaphy, doctors will first make an incision in the nostril to remove any excess skin and other tissue. They then use a surgical instrument to reshape the nasal sept