Nose Jobs & Reshaping (Rhinoplasty)
Rhinoplasty is the term given for cosmetic nasal (nose job) surgery, primarily carried out to improve appearance, or combined with operations to improve breathing.
Nose job surgery can produce changes in the shape of the tip, narrow the nostrils, change the angle between the nose and upper lip, and make the nose smaller or bigger. Through rhinoplasty surgery, you will be able to achieve a nose that you’re aesthetically happier with.
Who is Nose Job Surgery for?
Nose job surgery, or ‘nose reshaping’, is for anybody who is unhappy with their nose due to the facial proportion, or other issues such as injury including a deviated nose, nose size, and large nasal tips. The aim of rhinoplasty is produce a nose that is completely natural, is in proportion to your facial features, and makes you feel more confident about your looks.
Our leading nasal surgeon Dai Davies has particular expertise on the subject, and has lectured widely on cosmetic nose jobs throughout the world, while also performing over a thousand procedures. At Cosmetic Surgery Partners we aim to provide the most comprehensive and expert advice to you before you commit to making a decision on a nose job procedure, and we’ll provide you with everything you need to know.
Why Book with Cosmetic Surgery Partners
Specialising in facial surgery, at Cosmetic Surgery Partners we understand that each person is unique, and we will work with you to discuss the most appropriate procedures available before any surgery takes place. First we will work to understand your goals and desired outcomes from having rhinoplasty, and then our experts can explain the steps needed to make it happen.
The information provided here is an introduction to our nose job procedures, and we encourage you to get in touch with us for more information, or to get any specific questions answered.
If you would like to discuss having nose job surgery or would like to book a consultation, then please do not hesitate to contact us.
View our nose job before and after pictures.
Consultation
There is no standard operation suitable for all noses. Rhinoplasty is performed under general anesthetic as a day case.
The best patients are:
a) individuals looking for improvement, not perfection.
b) individuals with good health and psychological stability.
Pre-operative discussions and computer morphing are essential and this can now be done in 3D.
Procedure
Pre-operative
No Aspirin
No Smoking
Arnica should be taken for one week before and one week after surgery.
Developing a cold will not stop plans for your operation but a chest infection will.
Intra-Operative
Rhinoplasty is usually done under a general anaesthetic, with incisions being made either inside the nose (endonasal) or on the columella (open rhinoplasty).
If there is a breathing problem this may be addressed at the same operation.
The hump is reduced by shaving it down with a rasp or file. The nasal bones are narrowed by carefully performed breaks (in fracture). The alar cartilages are then altered in size and shape.
Other Procedures may include:
- Alar base excisions to narrow the nostrils
- Cartilage grafting to help straighten a bent nose or support a weak tip
Recovery
Bruising can extend from the eyes to the cheeks.
You may well feel congested following surgery.
You may blow your nose but do so gently.
You may wear glasses on top of the splint, and once the splint is removed, place the glasses very lightly on the bridge of your nose. Contact lenses may be worn providing the swelling around the eyes has resolved.
Any skin stitches will be removed at the fourth day after surgery. The plaster will be removed at about 10 days following surgery. On average patients will be back to full recovery at two weeks.
Complications
Bleeding - Despite the fact that the nose is a very bloody organ serious bleeding is very rare.
Infection- Very rare. Antibiotics are only needed if you have a graft or an implant.
Scarring - Scars heal very well on the nose. Scarring on the inside of the nose takes a minimum of nine months to soften and mature, thus delaying the full effect of a rhinoplasty.
Numbness of the tip - More common with open procedure. The sensation may not return back to normal.
‘Runny nose’ or Rhinitis - About 1 in 5 patients get a transient runny nose after surgery. This usually returns to normal but very occasionally drops are required to dry the nose.
Pain - This is not common.
Altered breathing - Changes produced by rhinoplasty may interfere with the normal passage of air though the nose. As swelling disappears from the nose this may improve. Occasionally secondary surgery may be required.
Long term healing - Subsequent alterations in nasal appearance may occur over several years. This may be from long term scar maturing.
1 in 20 operations require a small secondary adjustment usually under local anesthetic. For instance – to correct a small irregularity or to shave a little more off the hump.