Nose reshaping or rhinoplasty is a surgery technique to restore a proportional nose shape, or to correct for constricted breathing, whether after injury or due to a birth defect. In addition to these corrective procedures, surgeons now use cosmetic plastic surgery to perform subtle aesthetic changes to nose size and shape.
Rhinoplasty can change:
- Nose size, in relation to facial balance
- Nose width, at the bridge or in the size and position of the nostrils
- Nose profile, with visible humps or depressions on the bridge
- Nasal tip, that is enlarged or bulbous, drooping, upturned or hooked
- Nostrils that are large, wide or upturned
- Nasal asymmetry
Am I a good candidate?
You would be a very good candidate for rhinoplasty if
- You have minimal nose deformities
- You seek specific improvement(s) rather than perfection
- You are physically healthy, psychologically healthy and have realistic expectations from the procedure
- Your pubertal growth support is complete (after 14-15 years for girls and a little more later for boys)
Medications are administered for your comfort during the surgical procedure.
The choices include intravenous sedation or general anesthesia. Your surgeon will recommend the best choice for you.
Surgery of the nose is performed either using a closed procedure, where incisions are hidden inside the nose, or an open procedure, where an incision is made across the columella, the narrow strip of tissue that separates the nostrils.
Through these incisions, the soft tissues that cover the nose are gently raised, allowing access to reshape the structure of the nose.
Surgery of the nose can reduce or augment nasal structures with the use of cartilage grafted from other areas of your body. These are commonly harvested from the septum of the nose, the bowl of the ear or part of the rib. Some surgeons may use synthetic material such as Medpore instead of cartilage.
If the septum is deviated, it is now straightened and the projections inside the nose are reduced to improve breathing.
Immediately after the incisions have been closed, soft puffy material may be used inside the nose to maintain the structure along the nasal air passages. Also after surgery, an external splint is applied to help the nose maintain its new shape. The splint provides some additional protection for the nose during the healing process. The external splint is typically worn for six to eight days.
The nose area will be bruised and puffy after surgery. This bruising may extend to the eyes and all areas of the face. Common post-surgery instructions include a cold compress to reduce swelling, pain medication to reduce discomfort, and elevating your head for the first 24 hours.
Most of the swelling and bruising should disappear after seven days. You may experience limited bleeding the first few days. Normally after two weeks, all stuffing, splints, and other post-surgical dressings are removed. There will be some internal swelling within the nose for several months, but this will not be noticeable to anyone but you and the surgeon.You should see a change within 6-8 weeks following surgery, with continued refinement for 6-12 months. Cartilage is a flexible and growing tissue, therefore results following surgery are not fully predictable.
Perhaps the most important instruction: Do not bump your nose. We recommend that you stay in one of our exclusive accommodation for a period of 7-10 days to ensure that in the unlikely event of complications, they can be detected early by our Doctor and be managed at the earliest possible time.
Risks & Complications
The decision to have nose surgery is extremely personal and you’ll have to decide if the benefits will fulfill your goals and if the risks and potential complications are acceptable. In reality, in the hands of an experienced surgeon, complications are relatively rare. These potential complications include:
- Rupture of small surface vessels of the nose
- Poor wound healing
- Anesthesia risks
- Bleeding (hematoma)
- Nose asymmetry
- Change in skin sensation (numbness)
- Nasal airway alterations may occur after a rhinoplasty or septoplasty that may interfere with normal passage of air through the nose
- Nasal septal perforation (a hole in the nasal septum) may develop but is rare; additional surgical treatment may be necessary to repair the nasal septum but in some cases, it may be impossible to correct this complication
- Skin contour irregularities
- Skin discoloration and swelling
- Sutures may spontaneously surface through the skin, become visible or produce irritation that require removal
- Possibility of revisional surgery
Your surgeon may recommend other facial procedures such as a facelift to compliment rhinoplasty. Check out our promotional multiple procedure packages – save money and avoid multiple anaesthesia!