Rhinoplasty
Also known as: nose reshaping surgery, nose job, nasal surgery
Rhinoplasty aims to improve both the appearance and function of your nose. Whether you want to enhance facial harmony or fix breathing issues, this guide will walk you through what rhinoplasty involves, why you might consider it, and what to expect during the recovery.
What is rhinoplasty?
Rhinoplasty is a surgical procedure aimed at reshaping the nose to achieve a desired appearance or improve its function. This procedure involves a range of techniques, including reshaping the nasal bones and cartilage, and sometimes using cartilage grafts from other parts of the body to create the desired structure. Nose reshaping surgery is not just about aesthetics; it can also address functional issues such as breathing difficulties, making it a dual-purpose surgery that enhances both form and function.
The benefits of rhinoplasty extend beyond just the physical changes. Improving the nose’s shape can lead to better facial harmony, boosting overall self-confidence and satisfaction with one’s appearance. Whether the goal is to correct a deviated septum, reduce the size of the nose, or refine the nasal tip, rhinoplasty offers a comprehensive solution to meet various needs.
Why patients have a rhinoplasty
There are numerous reasons why individuals opt for rhinoplasty surgery. Many seek rhinoplasty for cosmetic reasons, aiming to correct issues like a nasal bump, asymmetry, or an unappealing nasal tip. Enhancing the nose’s shape to achieve facial harmony is a common goal, aligning the nose’s proportions with other facial features to create a balanced and aesthetically pleasing look.
Functional reasons are equally compelling. Many patients undergo rhinoplasty to address breathing difficulties caused by structural issues like a deviated septum. Additionally, rhinoplasty can correct defects resulting from injuries or congenital problems, restoring both function and appearance.
Rhinoplasty can greatly enhance a person’s quality of life, whether for cosmetic or medical reasons.
Hospital fee guide price: £4,140
Procedure price subject to bespoke quotation
*Additional consultant fee not included
Before surgery
Initial consultation
The initial consultation is a critical step in the rhinoplasty journey. During this meeting, the surgeon reviews the patient’s goals and discusses both the aesthetic and functional aspects of the surgery. This is the time to address any concerns and set realistic expectations, which are crucial for ensuring patient satisfaction post-surgery.
Functional rhinoplasty, which addresses structural nasal issues to improve airflow and breathing, is often discussed during this consultation. The surgeon will also review the patient’s medical history to ensure they are a suitable candidate for the procedure.
By the end of the consultation, patients will understand the procedure, expected outcomes, and recovery process, providing a solid foundation for their rhinoplasty journey.
Selecting the right surgeon is one of the most important decisions you’ll make in your rhinoplasty journey. Ensure that the surgeon has appropriate qualifications and is recognized by relevant medical boards. Verifying their registration with the General Medical Council (GMC) and their experience in nose reshaping is essential.
Experienced surgeons often present before-and-after images to potential patients, illustrating the results based on previous cases. Reviewing these images can help set realistic expectations and give you confidence in the surgeon’s abilities.
Preparing for rhinoplasty surgery
Preparing for rhinoplasty surgery involves several important steps to ensure a smooth process and optimal results. One of the first considerations is understanding the complexity, potential risks, and costs associated with the procedure. It’s important to be clear about whether your reasons for surgery are aesthetic or functional.
Practical preparations are equally important. Ensure you get sufficient rest before the surgery to aid in recovery and enhance healing results. Staying well-hydrated is essential for optimal health and recovery. Arranging transportation home is necessary, as patients cannot drive immediately after the procedure. Preparing meals in advance can ease recovery by letting you focus on resting instead of cooking.
Pre-surgery assessments
Before undergoing rhinoplasty surgery, several assessments are conducted to ensure the patient is well-prepared and suitable for the procedure. Photographs of the face are typically taken from multiple angles to evaluate the nasal structure and formulate a personalised surgical plan. Facial measurements are also an essential part of these assessment procedures.
Pre-operative evaluations may include blood tests and other medical assessments to confirm the patient’s suitability. It’s also crucial to discuss medications to avoid and clarify surgical instructions with your doctor.
Surgeons may advise patients to eliminate alcohol and nicotine before surgery to promote optimal recovery.
During surgery
The rhinoplasty procedure is a meticulously planned surgical intervention typically classified as an outpatient procedure, allowing patients to go home the same day. The surgery usually takes between 1.5 to 3 hours, depending on the complexity of the case. General anaesthesia renders you completely unconscious, offering comprehensive pain management and comfort during rhinoplasty.
Types of rhinoplasty
Rhinoplasty can be performed using two primary methods: open rhinoplasty and closed rhinoplasty. In open rhinoplasty, a small incision is made on the columella, the tissue separating the nostrils, which allows the surgeon to lift the nasal skin for enhanced visibility of the nasal structures. This technique is often preferred for more complex cases requiring significant reshaping.
Closed rhinoplasty, on the other hand, involves making incisions inside the nostrils, which leaves no visible scars. This method is generally preferred for simpler procedures where only minor modifications are necessary. Both methods have their advantages and are chosen based on the specific needs of the patient.
Surgical techniques
Rhinoplasty surgery involves various techniques that can modify the bone and cartilage, skin, or all three components of the nose to achieve the desired results. Surgeons use specialised instruments to meticulously reshape nasal bones and tissues, ensuring precise adjustments.
After surgery
The recovery process after rhinoplasty varies from person to person, but there are common stages and guidelines that can help ensure a smooth healing process. Swelling around the nose is a normal part of recovery and can last several weeks. Following your surgeon’s instructions and attending all follow-up appointments is crucial to monitor progress and promptly address any concerns.
Most patients see significant improvements in swelling and overall appearance within the first few months, with full recovery and final results often taking up to a year. Patience and adherence to post-operative care instructions are key to achieving the best possible outcome.
Immediate post-surgery care
Immediately after rhinoplasty surgery, patients commonly experience swelling, which can make the nose appear larger due to fluid accumulation. Patients are advised to wear a small plastic splint for one to two weeks to help maintain the new shape of the nose. Cotton gauze packing may also be used inside the nose and is usually removed within 24 to 48 hours.
Managing pain and discomfort is crucial in immediate post-surgery care. Mild to moderate pain is expected and typically decreases within a few days to a week. Over-the-counter pain relievers, as directed by your healthcare provider, can help with this discomfort. If severe pain occurs, contact your clinic for guidance.
Long-term recovery
Long-term recovery from rhinoplasty recovery involves careful monitoring and adherence to your surgeon’s treatment plan. Follow-up appointments are vital for proper healing and allowing the surgeon to monitor your progress. Most visible swelling will decrease significantly after three months, but a small amount may persist for up to a year.
Patients should be vigilant for any severe pain or unusual symptoms that could indicate complications. Adhering to your surgeon’s advice and attending all scheduled follow-ups will help ensure a smooth recovery.
Tips for a smooth recovery
Each person’s recovery experience can vary, but some general tips can help ensure a smoother process. Cold compresses and keeping your head elevated can help minimise swelling. Avoiding hot baths and strenuous activities protects your nasal bones during healing.
Diligently following post-operative care instructions is crucial for a smooth recovery. Remember, the amount of swelling and the timeline for seeing results may vary, so patience and adherence to your surgeon’s guidelines are key.
Potential risks and complications
While rhinoplasty offers numerous benefits, it’s important to be aware of potential risks and complications. Common issues include infection, bleeding, and adverse reactions to anaesthesia. There is also a risk of visible scarring, although this is usually minimal with proper surgical techniques.
Other potential complications include difficulty breathing, permanent numbness, or changes in the sense of smell. In rare cases, septal perforation can occur, leading to persistent breathing difficulties. Discussing these risks with your surgeon helps you understand what to expect and how to mitigate potential complications.
Appointment and Treatment Plan
Appointment
Based on your previous consultation with a doctor, an appointment will be arranged between you and your surgeon.
Treatment plan
During this appointment, you’ll go through your medical history, the surgery, the recovery, and together, you’ll decide whether this is a viable option for you.
Pre-op assessment
If surgery is an option, then the surgeon and their team will thoroughly assess whether you’re right for the surgery. They’ll consider your current health, any previous issues, and other external matters.
Surgery
Prior to going through the surgery, our team will ensure that you’re prepped once again. The surgeon will focus on the upper lid to remove excess skin and fat. If everything is confirmed, you’ll undergo the surgery and then we’ll explain the aftercare instructions.
Aftercare
If necessary, you’ll stay in a ward for a few hours to ensure that you’re ready to go home after the surgery. However, this may depend on the surgery outcome and whether you need moderate or light assistance.
Follow-Up
You’ll come in a few weeks later and we’ll give you one final check-over to ensure that you’re on track for recovery.
Experts
We are proud to provide patients with access to a wide range of clinicians, chosen specifically for their knowledge and reputation in their area of expertise. Our experts align with our values: putting you at the centre of your care and educating you on your options at each step of the journey. We encourage you to learn more about our clinicians and how they can help you below. As always, please contact our patient services team if you require any additional information.
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Hospital fee guide price: £4,140
Procedure price subject to bespoke quotation
*Additional consultant fee not included
FAQs
Rhinoplasty is a surgical procedure that reshapes the nose to enhance its appearance or function, employing techniques to modify the nasal bones and cartilage. This procedure can lead to significant aesthetic and functional improvements.
Common reasons for undergoing rhinoplasty include dissatisfaction with the nose’s aesthetic appearance, breathing difficulties, and the need to correct structural issues or deformities from injury or congenital problems.
The initial consultation is essential as it establishes the foundation for the rhinoplasty journey, allowing for the discussion of patient goals, aesthetic and functional considerations, and setting realistic expectations. Engaging in this process is key to achieving satisfactory results.
During the recovery process after rhinoplasty, you can expect initial swelling and the need to wear a splint for one to two weeks, followed by follow-up appointments to monitor for any complications. It is important to adhere to post-operative care guidelines for optimal healing.
Rhinoplasty carries potential risks such as infection, bleeding, visible scarring, breathing difficulties, and alterations in the sense of smell. It is advisable to discuss these complications with your surgeon to better understand and manage them.