Nose Reshaping (Rhinoplasty) Basics

The size, shape and length of the nose can all be altered through a reduction rhinoplasty operation. The scars are usually all internal and therefore not visible. If the nostrils are to be reduced, there will be minimal scarring which is well hidden in the nostril crease.

The bone structure of the nose can be related to that of a frame tent – if we wish to reduce the height of the “ridge”, then the sides must be also reduced and brought together to create a new ridge – this will not affect the skin surface which will shrink back on the new frame very well. The lower part of the nose is made up of cartilage and if your nose tip needs to be reduced, a part of this cartilage will be removed. This is carried out at the same time as any corrective bonework and is usually without visible scarring. If your nose is deviated or bent you may be offered a Septo-Rhinoplasty to straighten the nose. An Augmentation Rhinoplasty is performed to build up the nose in the case of a flattened bridge or a weak nose tip. Your Surgeon will examine your nose and advise you on the most appropriate operation.

The operation will be carried out under a General Anaesthetic and take approximately 2 hours. You will need to stay in hospital for 1 night and wear a splint over your nose for 7-10 days. It is advisable to refrain from working for a 10 day period and avoid contact/impact sports for 3-6 months. Your surgeon will advise you of thiS. There will be numbness, bruising and swelling after the surgery. Numbness and swelling will gradually resolve but may take several months. Bruising will be greatly reduced by the time you return to work at 10-14 days.

Is Rhinoplasty the right choice for me?
The final decision will be made between you and your Surgeon. However, the following reasons are typical of most people choosing to undertake this surgery:

• Self-conscious about the size and shape of the nose, especially as it is the most central feature on the face
• Inherited characteristics that may be disproportionate to the overall shape of the face – eg: a girl who has inherited her "father's nose"
• Accidents that have changed the shape, leaving unsightly bumps or flattened areas.

Benefits of Rhinoplasty

• Increased self-confidence from new appearance – happy to have photos taken of yourself
Increased self esteem
• Removal of lasting emotional scars from jibes and teasing
• Option of changing hairstyle – often kept long prior to surgery to "disguise" unwelcome features
• Harmony of appearance
• Looking younger

• Infection – it is a very small risk and can be minimised further by not having a cough/sore throat prior to surgery
• Nose bleeding
• Difficulty with breathing – this normally disappears once the swelling has settled
• Need for further surgery. Once the swelling has completely settled (this may take up to one year) surgery to further improve the results may be required, and this will be discussed with your Surgeon
• General Anaesthetic risks - including Deep Vein Thrombosis