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Nose correction - Rhinoplasty

Rhinoplasty is surgery that changes the shape of the nose. The motivation, in the majority of cases, is purely cosmetic, wishing to change the appearance of the nose because it is too big, too small, too wide, etc. If a breathing problem is reported, such as a deviated septum, it is possible to rectify this during the rhinoplasty procedure.

Rhinoplasty doesn’t have a standard plan or set order of steps, each operation is tailored to the needs of the patient. The following are common complaints that can be corrected during a rhinoplasty procedure:

  • reduce or enlarge the size or parts of the nose


  • remove a bump


  • change the shape of the nose tip

  • reduce the nostrils

  • change the angle between upper lip and no

Keep in mind that there is no such thing as a prefect nose. Surgery, though, can enhance facial features and emphasise your unique and natural beauty. An expert can describe the facial features that make you unique and tell you how changes would enhance your appearance.

The expert will evaluate the structures of your nose and other facial features. After this evaluation, he or she can tell you if your expectations are realistic.

What happens in a nose correction?

During a “closed rhinoplasty” incisions are made within the nostrils so there is no visible scaring on the skin, nevertheless, in some cases it is necessary to make an additional incision across the base of the nose (small inconspicuous scar of 4 mm), this is often referred to as an “open rhinoplasty”. In both cases, the inner bone and cartilage are accessible for reshaping, as necessary, to produce a more pleasing appearance.

How long does the procedure take?


A rhinoplasty takes approximately 1-2 hours.

What type of anaesthetic is used?


General anaesthetic is usually advised

Where does the procedure take place?


Surgery is carried out in the day hospital




How long will I be in hospital?


Usually a rhinoplasty can be carried out as a day case, but in some cases an overnight stay may be necessary.




What do I need to do after the procedure?

  • Sleep with your head raised higher than your chest, this will help reduce swelling.

  • Avoid wetting your face, should you have a protective splint on your nose or any other bandaging.

  • Ice packs can be used, for the first 48 hours to help the swelling, but never directly in contact with the skin.

  • Avoid strenuous activities, such as aerobics, jogging, contact sports, etc.

  • Avoid extreme facial expressions, such as smiling or laughing.

  • Avoid blowing your nose.

  • Eat a high-fibre diet, to avoid constipation, as constipation can cause you to strain, putting pressure on the surgery site.

  • Brush teeth gently to limit movement of your upper lip.

  • Use a sunscreen when you’re outside, as sun may cause permanent irregular discoloration.

What are the side effects of the surgery?

  • Swelling and bruising, especially around the eyes.

  • Headaches and slight tension pain (generally relieved with paracetamol).

  • Some slight bleeding and oozing of mucus (few days), the gauze swab placed under the nostrils should be changed as directed by the surgeon.

  • Loss of appetite, due to the temporary swelling in the nostrils and/or if packing has been used.




What are the risks of the procedure?

  • 
Bleeding

  • Infection (cartilage)

  • Small red dots can appear on the nose due to the dilation of very small capillaries

  • Results – where additional surgery is necessary

As changes of the nose, following surgery, are on-going for up to 12 months, final results can only be seen and assessed at this time. Therefore, any corrective surgery cannot take place before this12 month period is over.