Rhinoplasty is performed to correct structural issues, breathing problems or for cosmetic reasons. These nasal corrections enhance your self-confidence and improve your facial appearance. Rhinoplasty is generally performed after 18-19 years of age, since the nose is not completely developed at the younger age and may continue to grow after the surgery. It is more common for us to recommend surgery after completion of your facial growth in your early twenties. The aim of rhinoplasty is to fit the nose better into your overall face. As each face is individual, each result will be tailored to the individual. It is unrealistic to expect that you will end up with a nose matched to a photograph or celebrity.
Prior to surgery, a medical evaluation is performed to assess the airway, any nasal allergies and previous nasal trauma. We insist that you stop smoking and avoid taking medications that cause bleeding.
- Anaesthesia: Based on the complexity of the surgery, your surgeon will perform the procedure under general anaesthesia or local anaesthesia and sedation. All surgery is performed in an accredited day surgery or private hospital.
- Incisions: Your surgeon will make incisions depending on the type of surgical procedure to be performed. For the closed procedure, incisions are made hidden inside the nose; whereas, for the open procedure, incisions are made across the columella (tissue that separates the nostrils).
- Reshaping the nasal structure: The nose is 1/3 bone and 2/3rds cartilage. The surgeon will reshape the bone and cartilage and use sutures or re-use portions of cartilage as graft to refine the nasal tip. Occasionally, a piece of cartilage from the ear or rarely from the rib can also be used. In cases of deviated septum, your surgeon will straighten the septum and reduce the inside projections in order to improve breathing.
Closing the incisions: After the desired nasal shape is achieved, the nasal skin is redraped and incisions are closed
A nasal splint is place to protect the position of the bones/cartilage after the surgery. This will be removed at one week where you will be able to see some of the changes after the procedure. This will be still quite swollen and the nose shape and size will continue to improve for up to 6 months when you will be finally able to appreciate the result.
The procedure increases or decreases the size of the nose, changes the angle and projection of the nose from the face and lip, alters the nasal tip, and corrects bumps, dents and other visible nasal deformities. Rhinoplasty also corrects impaired breathing problems due to structural abnormalities and deviation of cartilage/bone of the nose.
- You should avoid strenuous exercise, swimming and blowing of nose for 3-4 weeks
- Avoid resting your eyeglasses on your nose for at least four weeks after surgery.
Yes – for functional breathing problems or deformity from previous trauma.
What are the indications for rhinoplasty?
Rhinoplasty is indicated in the following conditions:
- Broken nose
- Structural nose problems
- Nasal obstruction
- Nose that is out of keeping with the rest of the facial form
- Large/bulbous or drooping nasal tip
- Bump on the nasal bridge
- Excessively flared nostrils
- Off-cantered or crooked nose
What can you expect after rhinoplasty?
Your new nasal structure will be supported and protected with a splint on the outside. A drip pad will be placed to absorb the drainage under your nose. Occasionally, an internal pack is placed to reduce bleeding. It is normal to have a drip of blood and mucous from the tip as well as the back of your throat for the first 3-4 days.
Are there any specific instructions you need to follow after rhinoplasty?
In order to reduce the bleeding and swelling, you will have to raise your head higher than your chest while on bed rest. Ice is used for the first 12 hours to reduce bruising and swelling
What are the risks and complications of rhinoplasty?
As with any surgery, rhinoplasty involves some risks and potential complications. The possible risks and complications associated with rhinoplasty include:
- Small nasal surface vessels rupture
- Bleeding (hematoma)
- Nasal airway obstruction
- Nasal skin discolouration and scars
- Nasal numbness
- Risk of reoperation is around 1% usually due to progressive deviation of cartilage