Nose reshaping

What is a rhinoplasty procedure and why is it performed?

A rhinoplasty can help men and women of all ages to correct a large, disproportionate or irregular shaped nose.

Nose reshaping surgery is one of the most commonly performed facial cosmetic procedures provided and is often performed as a result of a patient feeling self-conscious about his or her facial appearance or profile. The ultimate objective of performing a rhinoplasty is for the surgeon to create an evenly proportioned nose shape and profile, which will compliment the other dimensions of the face and bone structure.

How is a rhinoplasty procedure performed?

A rhinoplasty procedure typically involves the surgical refining or removal of nasal bone and cartilage from just below the surface of the skin on the bridge, tip and/or nostril area. Following this refinement the skin is then re-draped over the newly designed underlying structure.

This procedure is usually performed under general anaesthetic. Under normal conditions a typical rhinoplasty procedure can take around 1 hour to perform. However, complicated rhinoplasty procedures performed to either build up or reconstruct the bone and cartilaginous structures of the nose can take much longer.
During a rhinoplasty procedure nearly all surgical incisions are made from within the nasal passage or nostril area and consequently surgical scars are usually hidden from view. One exception to this rule is when overly large or flared nostrils are surgically tapered, leaving small and usually insignificant scars hidden in the natural crease line to the side or just below the nostril area itself.

What kind of men and women request this procedure?

  • Men and women of all ages who want to improve the general size of their nose
  • Men and women who want to correct the disproportionate or irregular shape of their profile, bridge, nasal tip or nostril area
  • Men and women, who have had a traumatic or disfiguring injury to the nose
  • Men and women, who have an abnormally flat appearance to the bridge of the nose

What are the results like?

This advanced corrective procedure can provide excellent results. Improved results will be noticed almost immediately following surgery but will be obscured by a firm splint or support, which is typically applied to the nose immediately after the procedure. Inevitable facial bruising and swelling occurs following this type of surgery and can take up to 10 - 14 days to settle to an acceptable level of appearance. After the initial swelling has settled down, subtle improvements to the contour of the newly shaped nose will continually take place for up to six to twelve months following surgery. It is usual for patients to experience some kind of nasal stuffiness, similar to having a heavy head cold, for several weeks following rhinoplasty surgery.

Internal sutures (stitches) are usually used during a rhinoplasty procedure and are absorbable. If external or unabsorbable sutures are used (usual only when a nostril reduction is performed) they will be removed after 5 - 7 days. Most patients are required to wear a firm supportive nasal splint for 7 days after surgery.

How will you feel after a rhinoplasty procedure and what is the recovery period like?

Whilst a rhinoplasty procedure is usually considered a reasonably pain free one, the operated area is often quite tender for several months following surgery. Analgesic tablets (pain killers) are always provided for any discomfort and patients are encouraged to stay as upright as possible during their early recovery stage to help diminish residual swelling and bruising. Patients usually describe the way they feel as similar to having a heavy head cold, rather than experiencing specific pain. These symptoms diminish rapidly after the first week and as internal wounds heal.

In the early days following discharge patients are strongly advised to avoid any level of activity that would put undue strain on the newly operated area. It is usual for patients to take at least a week off work to rest and recover at home whilst wearing the nasal splint.

It is often reported that sensitivity and numbness to the tip of the nose is a common side effect for up to 12 months following nose reshaping surgery.

Are there any risks involved in nose reshaping surgery?

All surgery involves an element of risk from developing complications. However, cosmetic surgery is usually undertaken voluntarily and only when a patient is in good health. Therefore, the probability of experiencing complications following this kind of surgery is substantially lower than for those who undergo surgery due to ill health. Risks such as bleeding, infection, irregularity, asymmetry, scarring and alteration in sensitivity will all be discussed openly at consultation, as well as our scrupulous efforts to manage and minimise these risks to their lowest possible potential.

Mostly, the fine incisions and subsequent surgical scars that are made during this procedure are well hidden inside the nasal passages: however, the appearance of scars is a highly individual matter. Usually these fine scars mature, soften and fade to a negligible level. Very occasionally however, patients can develop firm internal scarring, known as hypertrophic scarring which may require further corrective treatment.

What next?

The importance of a thorough pre-operative consultation with the actual Consultant Plastic or Specialist Surgeon who will perform your operation cannot be over stressed. At One Healthcare each consultation is tailored to an individual's needs. The consultation will always involve a thorough evaluation of your present and past medical history and a physical examination of the area of concern.

Your surgeon will take time to listen to your concerns and take care to ensure that you have a thorough understanding of what can be done to help, the procedure itself, the recovery stages and a clear explanation of the risks involved. You will need time to consider all these factors before making a decision regarding rhinoplasty surgery

You are positively encouraged to ask any questions that you may have and to look at photographs of others who have had the same type of surgery that you are considering. If you would find it helpful, our advisory team may be able to arrange for you to speak with a previous One Healthcare patient who is willing to discuss their experience with you over the telephone.

How to arrange a consultation with a fully qualified Consultant with GMC specialist registration

Please feel free to call our Customer Service Advisory Team at your local One Healthcare Hospital who will be pleased to answer any queries, or make an appointment for you to meet with a Consultant Surgeon who has specialist skills and experience in laser resurfacing processes.

Our Customer Advisory Service is personally manned between 9am and 5pm Monday to Friday. We will also be happy to discreetly return your call if you leave a short message, forwarding name and telephone number on our confidential answer phone after office hours.

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