Nose Reshaping

Rhinoplasty, also known as a “nose job” or “nose reshaping”, improves facial harmony and the proportions of your nose. It can also correct impaired breathing caused by structural problems in the nose.

Although the aim is to improve facial proportions and balance, a symmetric result may not be achievable as everyone’s face is to some degree asymmetric and one side of the face is not identical to the other.


Who is a suitable candidate?

Your facial growth must be complete and you should be in good health. Your expectations and goals are realistic for the improvement of your appearance.


What happens before surgery?

You will be asked to stop certain medications such as aspirin, ibuprofen or herbal medicines that might increase the risk of bleeding during or after surgery.

If you are a smoker, you will be advised to stop smoking at least four weeks before and a similar length after surgery to reduce the chances of wound healing issues.


What does the surgery involve and how long it takes?

The procedure is carried out under general anaesthetic and can take 2 to 3 hours.

Rhinoplasty 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 skin that covers the nasal bones and cartilages is gently raised, allowing access to reshape the structure of the nose.

The nose can be reduced in size by removing bone or cartilage. Sometimes surgery of the nose may require the addition of cartilage grafts.

Most commonly, cartilage from the septum, the partition in the middle of the nose, is used for this purpose. Occasionally cartilage from the ear or rarely a section of rib cartilage can be used.

Once the underlying structure of the nose is sculpted to the desired shape, nasal skin is re-draped and incisions are closed.

You will have a protective splint over the nose and the nostrils will have some light dressing inside the nostrils once you wake up.


What happens after surgery?

After a restful night stay in the hospital you can go home the following morning once the nasal packs are removed. The splint will be removed one week after surgery along with any external stitches. You should refrain from any strenuous activity after surgery for up to 4 weeks. Expect some bruising and swelling which will improve over time. Your sense of smell may be impaired after surgery and should improve over time. You will be seen 3 months after surgery to assess the outcome and your overall satisfaction.


What are the risks and complications?

Significant and major complication rates are very low in nose reshaping surgery but the following could occur:

Bleeding: you may experience some minor nosebleed after surgery; which will stop by itself few days after surgery. Significant bleeding is rare and if it happens some blood vessels may need to be sealed off inside the nose.

Impact on smell: expect some changes in the sense of smell and feeling of congestion; this will settle in the majority of cases.

Infection: wound infection rates are very low in nose-reshaping surgery. Routine antibiotics are not required after surgery. Occasionally, antibiotics are required to treat an infection.

Numbness: expect some “fuzziness” or numbness on the surface of the nose; this will improve over time.

  • Summary
  • Operation time 2-3 hours
  • Anaesthetic General Anaesthetic
  • Nights in hospital 1
  • Time off work 2-3 weeks
  • Return to exercise 4-6 weeks

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