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Nose Reshaping (Rhinoplasty)

 

Rhinoplasty is a surgical procedure to reshape the nose. It can take many forms.

The most common procedures are reduction of the hump, straightening or shortening the nose, reshaping the tip, reducing the size of the nostrils and reducing the width of the nose.

The goal is not to give the person a completely new nose, but to minimise the worst features and accentuate the best features. It is rarely possible or appropriate to produce a replica of an idealised 'celebrity' nose. Realistically, surgery is tailored to achieve the best shape and size of nose for each individual.

Rhinoplasty (or Septorhinoplasty) is also carried out for breathing problems when the internal cartilage of the nose is deviated or damaged. This can occur after nasal injuries, but can be present from birth.

Will I have a perfectly straight nose after surgery?

Nobody has a completely straight nose and after surgery it will not be either. One side of the nose is different to the other. This will be the case after surgery too. Nevertheless, both straightness and asymmetry should be improved.

What are the risks?

Like all cosmetic procedures there are risks involved. There are general risks associated with surgery as well as risks specific to this procedure. Your surgeon will discuss them with you during your consultation. Overall, this is a safe procedure, however sometimes some problems may arise. These are almost always treatable and typically relate to irregularities in the shape of the nose or unsatisfactory nasal shape. Initial irregularities may settle over time, so it is important to wait before making the decision for further surgery. As with all surgeries problems may arise related to anaesthesia, bleeding, infection or scarring.

 

The Essential Facts
Length of Procedure
1 - 2 hours
Anaesthesia
General anaesthetic or light sedation (twilight anaesthesia) and local anaesthesia
Inpatient/Outpatient
Day case or 1 night stay
Time off work
1-2 weeks
Getting back to normal/sport
4-6 weeks (limit direct sun exposure for 6-8 weeks)
 
Treatment snapshot

Many cosmetic rhinoplasties are undertaken entirely through small incisions inside the nose. Where more complex surgery is required an open rhinoplasty approach is sometimes needed. This involves making an incision on the columella (area between the nostrils). Through the incisions, the surgeon works on the cartilage and bone that form the framework of your nose, sculpting and adjusting it to the desired shape. Finally, the incisions are closed with stitches. A light plastic splint may be placed on the back of the nose for a first week.