What is rhinoplasty?
A rhinoplasty operation is more commonly referred to as a ‘nose job’, it is an operation which is performed to change the shape or size of the nose.
Why is rhinoplasty performed?
Rhinoplasty may be performed on patients who are unhappy with the appearance or aesthetics of their nose.
Rhinoplasty surgery can either make the nose smaller, larger, change the shape, or change the angle that exists between the nose and the top lip.
What happens during rhinoplasty?
Currently, two types of surgery are generally performed:
- Open rhinoplasty: a cut is made in the middle of the nose to better access the bones and cartilage.
- Closed rhinoplasty: accessing the nose through the nostrils so no scars are left.
The operation is carried out under general anaesthetic, meaning patients are not awake during surgery. The procedure can take anything from one hour and a half to three hours. It is likely patients will need to stay in hospital or at the clinic overnight, or for a couple of days.
Before the operation, patients need to attend an initial consultation whereby their expectations will be discussed. A thorough examination will be performed, and photos of the face and nose will be taken. In addition, basic morphing photos will be provided demonstrating potential postoperative outcomes in addition to seeing examples of other patients pre and postoperative photo outcomes. Importantly a second consultation will be offered in order to enable further questioning before the surgery takes place.
The risks of the surgery will be discussed in detail and patients will be asked to sign a disclosure form.
After the operation, it is recommended patients take two weeks off work in order to recover. However, results of the procedure may not be visible until a few months later. Driving will not be possible for a couple of days post-surgery so transport home from the clinic or hospital would need to be arranged.
Stitches can usually be removed after a week, if they are not the dissolvable kind. If a splint has been provided, this may be able to be removed at this stage too. After three weeks, bruising and swelling should be significantly reduced. Patients can expect to return to playing sports and higher intensity activity at about four to six weeks.
Recommended aftercare instructions will be given by your doctor, including:
- Avoiding hot baths
- Avoiding dust and smoke
- Getting your splint wet
- Making sure to sneeze through your mouth rather than your nose
- Avoiding blowing your nose until your splint is removed
- Propping your head up with pillows while resting (to help the swelling go down)
Doctors can prescribe pain medication such as paracetamol to help with any pain. Nosebleeds may be experienced for the first few days after surgery, and there will be some swelling and bruising which will go down after time.