A rhinoplasty (or a nose job as it’s more commonly known) is designed to improve the appearance of your nose and/or to improve any breathing difficulties.

Mr. Irfan Khan has a special interest and vast experience in performing this operation with transformative results. In this blog, Mr. Khan has answered some questions frequently asked by his patients. It is hoped that this information will be useful for anyone considering having a rhinoplasty in the future.

Am I suitable to have a rhinoplasty?
Having a rhinoplasty has been proven to increase your self-confidence and self-perception. It is ideal for anyone who is worried about the shape of their nose and is the main reason why Mr. Khan performs this procedure. During your initial consultation,  Mr. Khan will ask you about your concerns regarding your nose. A lot of care and thought is then taken to suggest which procedure is most suitable for addressing your concerns and how your new nose may fit into the rest of your face.

How is a rhinoplasty done?
A full rhinoplasty is carried out under general anesthesia. This is one of the most delicate and complicated operations that we do. The nose consists of a skeleton framework made up of bone and cartilage. A rhinoplasty involves making changes to this skeleton framework allowing the skin to drape over it to give a new shape. Mr. Khan refers to rhinoplasty as ‘a surgery of millimeters’ where a few millimeters being taken off from the bone and cartilage make all the difference, to create the desired new shape. Only an experienced and expert surgeon can achieve this precision.

I am worried it will be very painful.
This is very common and understandable concern as sometimes reshaping of the nose can involve removal of a bony hump or fracturing of a nasal bone to make it narrow. In spite of this it is surprisingly not a painful procedure. Mr. Khan ensures adequate post-operative care and usually after the first 24 hours, paracetamol on its own is enough.

Will I have lot of bruising and how long will it last?
Due to the need for bony work, bruising is inevitable. However, Mr. Khan uses very fine osteotomes (surgical instrument) to break the nasal bone so that the damage is very precise and localised. This technique causes little bruising which usually settles in a week to ten days. You will be encouraged to sleep in an elevated sitting position or with a few pillows under your head for the first few days to minimise any bruising.

Will I have a plaster on my nose?
In order to allow the broken nasal bone to reset in a new position, a splint is put on which is removed in seven to ten days. Like any bony fracture, nasal bones take three months to heal. Therefore, during this time you have to be very careful to try not to injure the nasal bone. For example, avoid contact sports during this time but you can do other exercises after two to three weeks.

Will I have a scar?
This will depend on what changes need to be made to your nose and this is something that is discussed in the first consultation with Mr. Khan. For any significant work to the nasal tip, Mr. Khan uses an open rhinoplasty technique. This means that a small cut is created under your nose and the skin is lifted off to adjust the underlying skeleton. This scar heals very well and is not noticeable in nine to twelve months.

Will my smell change?
You may experience an initial altered sense of smell with the occasional offensive odor. However, this is not permanent and settles down to normal in a few weeks. This initial altered sensation of smell occurs due to crust formation inside the nose. This can also cause some difficulty breathing completely from your nose during this time. Mr. Khan will give you a nasal spray or drops to put in your nose to soften this crust so that it comes out easily. After three weeks you will be able to blow your nose and these crusts will then clear. Your throat may become dry due to breathing through mouth and frequent small sips can be helpful.

Will I be able to see change in the shape of my nose straight away?
Once the splint comes off after seven to ten days, you will be able to see the major changes made. However the nose is susceptible to a significant amount of swelling after surgery, which can take sometimes up to a year to completely settle down. Therefore, as the swelling improves, the changes made to the nose will become more and more apparent.

Are there any risks and complications after this surgery?
The normal risks and complications that can come with any operation are also relevant for a rhinoplasty and will be fully discussed during your consultation. Complications can occur from the operation and from the general anesthetic. Whilst complications can occur, Mr. Khan takes every precaution to avoid these.

To find out more visit us or call us on 0151 669 1114.