Treatment Guides

Rhinoplasty

About treatment

Rhinoplasty or commonly referred to as a ‘nose job’ is one of the most common types of cosmetic surgery. The procedure remains more popular amongst women but men are also known to undergo the facial augmentation. The surgery works to reshape the size and appearance of the nose. Whilst a popular cosmetic procedure, rhinoplasty is also performed for medical reasons. 

Who is this for

Rhinoplasty can be performed for both cosmetic and medical purposes, including: 

  • Those looking to alter the appearance or aesthetics of their nose (increase or decrease in size, the shape of the tip or bridge, narrow the distance between nostrils, alter the angle between your nose and lip)

  • People looking to correct a birth defect or traumatic injury to the face such as a broken nose

  • People looking for relief from some breathing or sinus problems 

How to prepare 

As with all cosmetic surgery, it is important to maintain realistic expectations of the procedure. The surgery can improve the appearance of your nose and self-confidence but will not necessarily change your overall body image. Rhinoplasty is recommended only for people looking to improve the way they look, not perfect it. It is important to discuss your expectations with your doctor and maintain realistic goals before undergoing treatment. To help this patients should ensure they are in good physical and mental health before procedure. 

Patients should also avoid drinking and smoking two weeks before surgery. It is important there is not a fresh acne outbreak on the skin of your nose going into surgery. As well, the nose cannot undergo operation if there is any inflammation or mucous in the nasal membranes. Discussions with your doctor will help to make sure you are cleared of these conditions and adequately prepare for treatment. 

What to expect during the procedure 

There are a few different types of rhinoplasty. Upon consultation with your doctor and clarification of your objectives the best approach will be mutually decided. These include: 

  • Reduction rhinoplasty - reducing the size of nasal features, ultimately for those looking to achieve a more proportional and symmetrical nose to that of their other facial features. 
  • Augmentation rhinoplasty - focused on changing the shape and aesthetics of the nose. This approach requires a bone or tissue graft. 
  • Post-trauma rhinoplasty - After severe injury, such as a broken nose, this approach involves resetting the nose, followed by straightening and correcting the nasal septum. 

Because of the varying types of rhinoplasty, the surgery procedure will be unique for each patient. However, generally the procedure involves some consistent steps over a 2 to 3 hour period. 

  • Rhinoplasty requires you to be under general anaesthesia or IV sedation.
  • Upon sedation your doctor will begin to make small incisions on both the soft and hard bones of your nose. 
  • Depending on the procedure type, the doctor will perform removal or grafts in order to reshape the nose. 
  • The surgeon will cover the new contours of your nose with your skin lifted in the initial step. Also closing off the incisions. 
  • Lastly, dissolvable stitches are commonly used upon completion, meaning the patient will not require removal during aftercare. 

Taking care after treatment 

Patients should expect to take one week off before resuming to normal activities, with total recovery taking several weeks. It is recommended you have someone present following surgery to help support you. 

During the first week after treatment, patients should expect to feel tired, accompanied by bruising, swelling and general discomfort. You may also feel congested or that it is difficult to breathe due to cotton dressings in the bandage process. 

After the first week patients will have their cast and bandages removed. You may start to look and feel more ‘normal’, with the dissolvable stitches beginning to disappear and being able to return to light regular activities. Although, exercise and physical labour are still discouraged. By week 3 to 4, patients will see a decrease in swelling and incision appearance. At this point, patients can resume light exercise and easily disguise any redness under makeup. 

Be aware of the risks 

Rhinoplasty is considered a medium risk surgery excluding the risks associated with general anaesthesia. Some risks to consider are:  

  • Excess bleeding or infection 
  • Difficulty breathing through your nose 
  • Long lived or permanent numbness in the nose 
  • Septal perforation - a hole in the septum 
  • Asymmetrical or uneven looking nose 

Success 

On average, the success rate of rhinoplasty surgery is between 85 to 90 percent. Depending on the procedure type patients can feel more confident in their appearance, resolving breathing issues, healing from facial traumas or improving abnormalities. Consultation with your doctor before surgery will help to understand the anatomy of your nose as it is important to understand your individual expected success rate.

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