Rhinoplasty (Nose Reshaping)

The Surgery

This procedure is commonly known as a ‘nose job’ and there are many variations of the Rhinoplasty procedure. During nose reshaping, the shape of the nose can be changed, the bridge repositioned, bumps removed, nostril shape amended or the tip altered.

During a Rhinoplasty operation alterations are made internally via the patient’s nostrils. Small incisions to the nostril base may also be required. Bone structure and tissue can be manipulated to achieve the desired result. Following the nose job or nose reshaping procedure, a splint will be fitted to the nose to maintain the new shape and this is typically worn for approximately a week.

The Rhinoplasty operation is done under general anaesthetic and the patient will need to stay in hospital overnight. The patient is generally advised to take a week off work. Following surgery, strenuous exercise should be avoided for a few weeks as a situation could arise in which the nose could get knocked or damaged before full healing has taken place.

Surgery does result in bruising and swelling around the nose and eyes for the first few days, but this subsides quickly, and the pain is controlled with the use of painkillers. Scarring should be minimal, due to the internal access and any small incisions will quickly fade.

Recovery following Rhinoplasaty

The patient is normally able to go home the following morning. It is recommended that the patient rests and avoids bending down too much or exercising for several days. The swelling experienced tends to increase on the first and second postoperative day but generally settles down over the next week or two.

Depending on the exact procedure, the patient is seen five to seven days after surgery when the sutures will be removed and general advice on recovery and scar management will be given to speed the patient’s progress. The splint is generally left in place for about a week.

Typically, another review appointment will be made thereafter to see the final result.

The majority of the bruising and swelling settles in the first two weeks and many patients are able to return to normal activities at that stage. It is quite common for the nose to feel blocked, a little like a cold, after the procedure until the swelling settles. Swelling around the tip of the nose can take a little longer to settle than swelling towards the top.

Safety and potential risks of Rhinoplasty surgery

The risk of significant, long lasting complications following Rhinoplasty surgery is minimal. There are some problems which can develop though these tend to be temporary and short term:

  • Bleeding – Bleeding can occur postoperatively and is usually minor and similar in nature to a mild nosebleed.
  • Impact on sense of smell – Some impact on the sense of smell may be experienced and a feeling of blockage in the nose is common in the early stages but this settles down fairly quickly in the vast majority of patients.
  • Numbness – Some numbness in the area of the lifted skin at the tip of the nose is normal after this type of surgery and will usually slowly return to normal after surgery.
  • Infection – Infection is rarely seen in nose-reshaping surgery and routine antibiotics are not required post-operatively. However, as with all surgical procedures, infection occasionally occurs and antibiotics are sometimes required.

This is not a definitive list and symptoms will vary with each patient. Please ask Miss Patel for more information.

Next Steps

For further information please contact Miss Patel to arrange a consultation.

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