PROCEDURE

Rhinoplasty (Nose Job)

Rhinoplasty, often referred to as a ‘nose job,’ is a surgical procedure primarily aimed at altering the shape or function of the nose. There are a number of reasons why you may want to seek such surgery, from aesthetic enhancement to improving breathing difficulties caused by structural abnormalities. 

The nose, being central to the face, significantly impacts our overall appearance and facial harmony. Rhinoplasty can offer dramatic improvements while still maintaining a natural appearance. 

It’s important to note that this procedure is not a one-size-fits-all; adjustments are made on a case-by-case basis, depending on the desired outcome of an individual. Ideal candidates for this surgery should be in good overall health and have realistic expectations about the final results. Mr Kshem Yapa will discuss all of the necessary parameters with you during your consultation. 3D reconstructions will be shown to you prior to surgery to make sure your desires align with the surgical plan in order to make sure your operation surpasses your expectations.

You should see the final results of this type of surgery after 6-12 months.

At a glance

Procedure Length:
Procedure Length:

Typically 1-3 hours.

Hospital Stay:
Hospital Stay:

Usually discharged the same day.

Anaesthesia:
Anaesthesia:

General or local with sedation.

Downtime:
Downtime:

Approximately 1-2 weeks for major swelling to subside.

Showering:
Showering:

Possible after 48 hours, avoiding nasal area.

Sleeping:
Sleeping:

Keep head elevated for the first week.

Makeup:
Makeup:

Avoid on the nasal area for at least a week.

Driving:
Driving:

Avoid for 24hrs post surgery and until the anaesthesia and pain medications have worn off.

Sun exposure:
Sun exposure:

Minimise exposure for 3 months post-surgery and use a high SPF outdoors.

Smoking and Drinking:
Smoking and Drinking:

Avoid for at least 2 weeks pre-surgery and throughout the recovery period.

Benefits of Rhinoplasty

Rhinoplasty offers significant benefits primarily through enhancing facial aesthetics and boosting self-esteem. The advantages include but are not limited to:

  • Symmetry of the Nose:

    Rhinoplasty can correct any asymmetries and provide a more balanced look. This contributes significantly to improved facial aesthetics and an overall harmonious appearance.

  • Correct Nose Width at the Bridge:

    The adjustment of the width of the nose bridge through rhinoplasty greatly impacts the overall facial appearance. A correctly proportioned nose bridge brings about a more balanced and attractive look.

  • Size and Position of the Nostrils:

    Large, wide, or upturned nostrils can be adjusted in size and position for improved facial aesthetics and a potential improvement in your breathing.

  • More Desirable Nose Profile:

    Visible lumps, bumps and dips on the bridge can be corrected to give a smoother, more desirable profile.

  • Improved Nasal Tip:

    Rhinoplasty can refine an enlarged, bulbous, droopy, or hooked nasal tip. This leads to a more defined, balanced and aesthetically pleasing nose.

Surgical Techniques for Rhinoplasty

Rhinoplasty surgery techniques are decided upon based on your nasal structure and your desired final outcome. Broadly speaking, however, most surgeries can be categorised into two types:

 

– Closed rhinoplasty. Incisions are made within the nose and therefore there will be no visible scarring. As the surgeon will be working through small incisions, they will have less visibility and therefore this technique is more suited for less complex adjustments.

 

– Open Rhinoplasty. A small incision is made on the underside of the nose, to the tissue that separates the nostrils (columella). This method is often preferred due to better visibility for the surgeon. It may result in a small scar where the incision was made but scarring is usually minimal and fades with time.

 

For procedures that require some structural reinforcement, the surgeon may use an implant, or require cartilage to be donated from another site, for example:

 

– Cartilage from the patient’s ear or deeper within the nose may be used.

– Rib cartilage can also be utilised for the nose tip or bridge.

 

Implants are generally avoided in the tip area due to potential complications with thin skin but may be used for patients requiring a taller nose (more projection).

Surgical Steps Involved in Rhinoplasty

The term rhinoplasty is a catch-all for all nose surgeries however, it can be broken down into more specific surgeries. For example, septoplasty, tip rhinoplasty and alarplasty to name a few. Each of these sub-categories has its own specific techniques, consequently, the techniques described below are broad in their description of the process.

  • Anaesthesia

    Anaesthesia ensures comfort during the procedure. Depending on health status, operation complexity, and Mr Kshem Yapa’s preference, either local anaesthesia with sedation (twilight) or general anaesthesia will be used.

  • Incisions

    The type of incision is determined by the surgical approach chosen.

    Closed approach: Incisions are made within the nose and therefore there will be no visible scarring.

    Open approach: A small incision is made on the underside of the nose, to the tissue that separates the nostrils (columella). It may result in a small scar where the incision was made but scarring is usually minimal and fades with time.

  • Reshaping

    Depending on what has been requested, and whether open or closed surgery has been decided, various reshaping techniques can be used.
    – Adjusting Nasal Tip: Mr Yapa will mould the underlying cartilage structure by suturing various parts together, removing cartilage or adding cartilage to reinforce the structure. Once the desired shape and profile have been achieved the surgeon will close any incisions.

    – Adjusting Nasal Bridge. Lumps and bumps may be removed by carefully breaking the bone and reshaping or filling down to create a smoother, more refined profile before any incisions are sutured.

    – Straightening nose (correcting asymmetry). Mr Kshem Yapa first addresses the deviated septum and any blockages, subsequently realigning the cartilage and bone while securing the mucosal lining with sutures.

    – Adjusting Nostrils. Additionally when required an incision on each side of the nostril, removes excess tissue as needed, and then sutures the area to enhance the shape and proportionality of the nostrils.

  • Closing

    Once the reshaping is complete, incisions are sutured to promote healing and minimise visible scarring. Especially in the open approach, it is important to fix any disrupted anatomical support mechanisms to ensure the nose retains its shape and function post-operatively.

Risks and Complications of Rhinoplasty

Every surgical procedure, including rhinoplasty, carries inherent risks and potential complications. While Mr Kshem Yapa is dedicated to upholding the highest standards of care and adhering to stringent guidelines and health and safety protocols, it’s vital to understand that the probability of risk can never be entirely eliminated. So, as with any surgery, there may be unforeseen factors or individual responses to rhinoplasty that lead to complications including:

A common post-operative symptom that typically subsides over time.

It is normal to experience some degree of bruising following the procedure. This generally resolves within a few weeks.

Though rare, there is a risk of excessive bleeding during or after surgery. Patients are advised to avoid blood-thinning medications prior to the procedure.

While every effort is made to ensure a symmetrical outcome, variations in healing can sometimes result in slight asymmetry.

Scarring is usually minimal and for closed approaches, hidden inside the nostrils. However, in open rhinoplasty, a small scar may be visible on the base of the nose.

Temporary breathing difficulties may occur post-surgery due to swelling. In rare cases, these may persist and require additional treatment.

Recovery After Rhinoplasty

Post rhinoplasty, some degree of swelling is to be expected. Daily activities, excluding exercise, drinking and smoking, can typically be resumed within a few days.

 

Bleeding, bruising and swelling may persist for a couple of weeks though by the fourth week, most of the visual signs of surgery will have subsided. At three months post-surgery there will be no obvious signs of swelling. The final shape and form of your nose will become apparent at approximately six months post-surgery but complete internal healing can take up to one year.

 

You will be provided with a direct phone line to our experienced specialist cosmetic surgery nurse who provides an on call service 24 hrs a day, from the moment you have surgery, for any questions or concerns you may have or any other support you may need. We take pride in making sure our patients are well looked after following surgery and want you to feel well supported throughout your journey with us.

Book your consultation

If you would like to discuss this procedure in detail and understand if it’s the right procedure for your goals, book a consultation with Mr Kshem Yapa.

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If you would like to book a consultation with Kshem Yapa or learn a little more about our procedures and services please contact us via the form below to request a call back. We offer face-to-face consultations at our Harley Street Clinic and virtual consultations for those unable to attend our clinic.