Nasal surgery, also known as rhinoplasty, is generally performed in order to improve the appearance and proportion of a patient’s nose. The shape of a person’s nose is largely the result of their gene-pool, but in many cases its appearance may have been altered by injury or prior surgery. Nasal surgery can also be performed in order to correct impaired breathing resulting from structural abnormalities in the nasal cavity.

Rhinoplasty is most effective in altering:

  • Nose size in relation to other facial features
  • The width of the nose at the bridge
  • Bumps or indents visible on the nose in profile
  • Large, bulbous, drooping or excessively upturned nasal tips
  • Large, wide or upturned (‘flared’) nostrils
  • Asymmetrical ‘noseflaps’

Nasal surgery is recommended for individuals that are in good physical health, have realistic goals and whose facial growth is complete. Facial structures normally stabilize around the age of 13 and rhinoplasty should not be considered before then.

During your initial consultation with your chosen plastic surgeon, you should be prepared to be completely candid regarding your health, desires and lifestyle and the success and safety of your nasal surgery will largely depend on the validity of the information you supply. You will be expected to divulge information regarding existing medical conditions, chronic medication (including vitamins and herbal supplements), previous surgeries and drug allergies. Your surgeon will then proceed to evaluate your general health, take photos for your medical record and discuss the various surgical nose job options for altering your appearance. At this stage, you will also discuss possible risk factors and the way they could apply to you.

Nasal surgery can be performed under either intravenous sedation or general anesthesia. After your initial consultation, your plastic surgeon will be able to recommend the option that will best suit your lifestyle and desired outcome. As soon as you are sedated, your surgeon will proceed to make the necessary incisions. Rhinoplasty can be performed by closed procedure, which involves incisions inside the nose, or open procedure, where an incision is made across the columella, the narrow strip of tissue that separates the nostrils. The soft tissues that cover the nose are then raised through these incisions – providing space to reshape the nasal structure.

Rhinoplasty generally involves reduction or augmentation of the nasal structure using cartilage grafts from other areas of the body. In most cases cartilage is harvested from the septum, although occasionally it may be taken from the ear or rib cage. If the patient suffers from a deviated septum, it will be straightened so that the projection inside the nose is improved to aid proper breathing. As soon as the underlying structure of the nose has been sufficiently sculpted, the nasal skin and tissue are returned to their original positions and the incisions are closed.

After the nasal surgery is completed, your nose will be supported by splints and internal tubes for the initial healing period that can take up to a week. Swelling will diminish within a few weeks, but it could take as long as a year for the desired nasal contour to be completely visible. During this adaptation period you may observe moderate changes in the appearance of your nose as the contour refines.

If your nose surgery is scheduled to be performed on an outpatient basis, your surgeon will recommend that you organise with a friend or family member to accompany you to and from surgery. Ideally they should also spend the first night following surgery at your house in case you require assistance as nose job recovery can vary in length. So apply today to discuss and arrange a consultation with us regarding your upcoming surgery.