Introduction to Rhinoplasty
A rhinoplasty (or a nose job as it’s more commonly known) is designed to enhance the balance between your nose and the rest of your face providing a more symmetrical and proportionate appearance. Our Consultant Plastic Surgeons have been performing this surgery for years, with transformative results.
Am I suitable?
Many of our patients come to us because they are unhappy about the shape or size of their nose. Sometimes these factors are influenced by genetics but nose appearance can also be influenced by other facial features (chin and cheek bones) and if that is the case they may also need to be addressed.
There are also some limitations to the surgery, for example if the skin on the tip of your nose is thick or oily, it may not be possible to reduce it as much as you like. There may also be some limitation on the amount of reduction that can be achieved. In cases where you have suffered injuries and your nose is bent, it may not be possible to make it completely straight. Large nostrils can also be difficult to reduce without leaving some noticeable scars.
Your surgeon will talk to you extensively about your particular case and how your nose could be reshaped or resized to achieve your desired goal. However, we do ask that patients wait until they are fully grown (age 18) before considering rhinoplasty surgery.
The procedure and risks
A rhinoplasty is performed under general anaesthesia and can be done in several different ways. One option is to operate from within the nose, making incisions inside the nostril (this is called a closed rhinoplasty). Another option is to make an incision across the strip that separates the nostril (known as a columella) and within the nose (this option is called an open rhinoplasty). The technique used in your surgery depends on the type of work that you are having done and the difference in technique is something that your surgeon will discuss with you at length before your surgery.
Once you are in surgery, your surgeon will work through the incisions made (either a closed or open rhinoplasty) and then sculpt the bone and nose cartilage to your desired shape (this may involve reshaping or repositioning the bones or using cartilage from other body sites). After this is done the surgeon then redrapes the skin and soft tissue back over the nose. If your procedure involves narrowing the lower part of the nose or reducing the nostrils, small wedges of skin at the base of the nostrils may be removed through incisions (the incisions are hidden in the nose's natural creases).
After the procedure it is normal to expect some bruising and swelling but this will gradually go down. However, as with every surgery, this procedure carries risks. Many patients experience some difficulty breathing through the nose during the first week after their rhinoplasty but this disappears as the swelling settles down. However occasionally this can persist and can be permanent. Other risks include complications, heavy nose bleeding or infection. In about 10% of patients, surgical revision may be necessary 6-12 months after surgery when the swelling has settled. Secondary surgery like this will involve additional expenses.
As your wellbeing is our number one priority we offer a comprehensive and personalised aftercare package, all included in your treatment.
After you are discharged, we will provide you with post-operative care instructions. You will be asked to sleep with your head raised on some extra pillows for a few days after surgery and you may also be asked to apply cold compresses to your eyes.
Immediately after surgery, you will have 24-hour access to trained staff who will be on hand to advise you should you have any questions or concerns.
After the surgery, we will arrange appointments for follow-up examinations with your surgeon to monitor your progress and check that you are recovering well.
2 weeks after surgery, one of our trained staff will see you, check your wounds and remove any stitches. Your surgeon will see you after 6 weeks for a follow-up and if necessary, for subsequent appointments until you are fully recovered. These follow-ups are standard and will be provided at no extra cost.
In the unlikely event of a problem, we’ll immediately make arrangements for you to be seen by trained staff and (if needed), by the surgeon who performed the procedure. As the Sthetix surgeons live and work locally, you can always see your surgeon at relatively short notice. After performing the surgery our surgeons don’t leave the country or the local area. Very rarely, a surgeon may leave the local area for other commitments but if this happens, we will ensure that there is another trained plastic surgeon from our team available to provide you with comprehensive care.
In the unlikely event of a complication directly related to your surgery, we would provide or arrange further surgery and/or treatment at no extra cost for up to 1 year from the date of your original surgery.
Will I have visible scars?
This completely depends on the type of rhinoplasty you have. Your surgeon will talk to you about scarring at the consultation stage and answer any questions you may have.
When can I go back to work?
Most patients can go back to work after 10 days but this will depend on your particular pace of healing and the type of rhinoplasty you have had.
When can I drive?
You can drive again after 10 days but this depends on how fast you are healing.