Nose reshaping, known as Rhinoplasty, is one of the longest established and most commonly requested cosmetic procedures. It is popular with men and women of all ages. This operation alters the size and/or shape of the nose to create a new profile and bring it into proportion with the rest of the facial contours. It may be that this procedure has been considered because of a feeling of unhappiness with the nose, or it may be that there is a problem that contributes to such difficulties as breathing difficulties. Whatever the reason, these conditions can normally be improved with a simple surgical procedure.
Rhinoplasty is usually performed under general anaesthetic and involves an overnight stay at the Hospital. The operation takes about an hour, depending on the complexity of the procedure. It is carried out through incisions made inside the nose, which leave no visible scars. In some cases, where the width or flare of the nostrils is being reduced, small outside incisions are used. In these cases the incisions will be made where possible in natural crease lines of the nose to conceal scarring.
Anesthesia: Nose reshaping surgery is typically performed under general anesthesia, which means you will be asleep and feel no pain during the procedure. In some cases, local anesthesia with sedation may be used.
Incision placement: The surgeon will make incisions either inside the nostrils (closed rhinoplasty) or across the columella (open rhinoplasty). The choice of incision technique depends on factors such as the complexity of the procedure, desired changes, and surgeon’s preference.
Accessing the nasal structures: Once the incisions are made, the surgeon will carefully lift the skin and soft tissues to access the underlying nasal structures, including bone and cartilage.
Reshaping the nose: The surgeon will then reshape the nose by removing, modifying, or rearranging the bone and cartilage as needed. Techniques such as removing a nasal hump, refining the nasal tip, straightening a deviated septum, or adjusting the nasal bridge may be performed to achieve the desired aesthetic and functional outcomes.
Reconstruction and refinement: After reshaping the nasal structures, the surgeon will carefully reposition the skin and soft tissues over the newly shaped framework of the nose. This helps create a more balanced and natural appearance.
Incision closure and recovery: The incisions are closed with sutures, and nasal packing or splints may be placed inside the nose to support the newly shaped nasal structures and promote proper healing. External splints or casts may also be applied to protect the nose during the initial recovery period.
Recovery and follow-up: Following the procedure, you will need to rest and take it easy for several days. Swelling, bruising, and mild discomfort are common during the early stages of recovery. Pain medication may be prescribed to manage any discomfort. You will receive specific post-operative instructions on caring for your nose, including cleaning the incisions and changing dressings. Follow-up appointments will be scheduled to monitor your healing progress, remove sutures, and assess the final results.
There are several variations of nose reshaping (rhinoplasty) techniques that can be used based on the specific needs and goals of the individual. These variations include:
Open Rhinoplasty: In open rhinoplasty, an additional incision is made across the columella, the narrow strip of tissue between the nostrils. This allows for better visibility and access to the nasal structures. The advantage of this approach is that it provides a direct view of the nasal anatomy, allowing for more precise modifications. However, it does leave a small scar on the columella.
Closed Rhinoplasty: Closed rhinoplasty involves making incisions only inside the nostrils, without an external incision on the columella. This technique is typically used for less complex cases and provides the advantage of no visible external scarring. However, it may have more limited visibility and access to the nasal structures compared to open rhinoplasty.
Tip Rhinoplasty: Tip rhinoplasty focuses on reshaping and refining the nasal tip without making significant changes to the bridge of the nose. It can involve modifying the cartilage framework, adjusting the shape, projection, or rotation of the tip, and improving tip symmetry.
Septoplasty: Septoplasty is a functional procedure that is often combined with rhinoplasty. It involves straightening a deviated nasal septum, which can improve breathing and correct nasal obstruction. Septoplasty primarily focuses on functional improvements rather than cosmetic changes to the external appearance of the nose.
Revision Rhinoplasty: Revision rhinoplasty is performed to correct unsatisfactory results or complications from a previous rhinoplasty procedure. It requires additional expertise and careful evaluation of the existing nasal anatomy and scar tissue to achieve the desired outcome.
These are some of the common variations of nose reshaping techniques. The specific technique used will depend on factors such as your nasal anatomy, desired changes, surgeon’s expertise, and your unique goals and expectations.
After undergoing nose reshaping surgery (rhinoplasty), it is important to follow post-operative care instructions to ensure proper healing and optimize the final results. Here’s what you can expect during the recovery period:
Recovery room: After the surgery, you will be taken to a recovery area where you will be closely monitored as you wake up from anesthesia. You may experience grogginess, nausea, or discomfort during this time.
Nasal packing and splints: In some cases, nasal packing or splints may be placed inside the nose to support the newly shaped nasal structures and control bleeding. External splints or casts may also be applied to protect the nose during the initial recovery period.
Swelling and bruising: Swelling and bruising around the nose and eyes are common after rhinoplasty. The severity and duration of swelling can vary, but it typically peaks within the first few days and gradually subsides over the following weeks. Applying cold compresses and keeping your head elevated can help reduce swelling.
Pain management: You may experience some discomfort or pain after the surgery. Your surgeon may prescribe pain medication to manage any discomfort during the initial days. It is important to follow the prescribed dosage and instructions.
Follow-up appointments: You will have several follow-up appointments scheduled with your surgeon to monitor your healing progress and remove any packing, splints, or sutures. These appointments allow your surgeon to assess the results and address any concerns or questions you may have.
Activity restrictions: It is essential to avoid strenuous activities, heavy lifting, or any activities that could accidentally injure the nose during the initial healing phase. Your surgeon will provide specific guidelines on when you can gradually resume normal activities, including exercise.
Nasal hygiene: Proper nasal hygiene is important during the recovery period. Your surgeon will provide instructions on cleaning the incisions, gently blowing your nose, and applying any prescribed ointments or nasal sprays.
Final results: It’s important to keep in mind that the final results of rhinoplasty may take several months to fully manifest. As swelling subsides and the tissues settle, the refined shape and contour of the nose will become more apparent.
It’s crucial to follow all post-operative instructions provided by your surgeon, attend all scheduled follow-up appointments, and reach out to your surgeon if you have any concerns or questions during the recovery period. This will ensure proper healing and help you achieve the best possible results from your nose reshaping surgery.
Before the treatment I was always bullied about my lopsided face and bad skin condition. Thank you!
Beauty has so many forms, and I think the most beautiful thing is confidence and loving yourself.
I had the most amazing experience, from the moment I walked in to the moment I walked out I was cared for with such compassion. All the nurses were amazing, they tucked me in bed, they poured my tea, I cannot fault them. It was like being looked after by family. My anesthetist and surgeon explained everything in detail, I knew exactly what to expect. I would definitely stay here again.
I was really pleased with the care and treatment that I received at Welbeck Hospital. My surgeon was kind and informative and explained the entire procedure to me. I recovered completely fast. I would recommend it to everyone.
While some changes may be noticeable immediately after surgery, it can take several months to a year to see the final results of rhinoplasty. Swelling and healing time vary among individuals, and it’s important to be patient during the recovery process.
In most cases, incisions for rhinoplasty are made inside the nose (closed rhinoplasty) or along the columella (open rhinoplasty), resulting in minimal visible scarring. Closed rhinoplasty leaves no external scars, while open rhinoplasty may leave a small, well-concealed scar on the columella.
Rhinoplasty is performed under general anesthesia, so you won’t feel any pain during the surgery. However, it is common to experience some discomfort, swelling, and nasal congestion during the initial recovery period. Your surgeon may prescribe pain medication to manage any discomfort.
Yes, rhinoplasty can be performed to address functional issues and improve breathing difficulties caused by a deviated septum, nasal valve collapse, or other structural abnormalities. This procedure is known as functional rhinoplasty or septorhinoplasty.
The recovery period can vary among individuals, but most people can expect some swelling and bruising around the nose and eyes for the first few weeks. Nasal congestion, nasal packing, or splints may be present during the initial stages of recovery. It is important to follow your surgeon’s instructions on post-operative care and activity restrictions.
Rhinoplasty can be performed on teenagers who have completed their facial growth, usually around the age of 15 or 16 for girls and slightly older for boys. It is important for teenagers to have a clear understanding of the procedure, realistic expectations, and parental consent.
Yes, rhinoplasty can be combined with other facial procedures, such as chin augmentation or eyelid surgery, depending on your specific needs and goals. Combining procedures can provide more comprehensive results and potentially reduce overall recovery time.
The results of rhinoplasty are intended to be long-lasting, but it’s important to keep in mind that the natural aging process can still affect the nose over time. Good post-operative care, maintaining a healthy lifestyle, and protecting the nose from injury can help prolong the results.