Rhinoplasty (a nose job) is one of the most popular forms of cosmetic surgery to improve and refine the nose. Primary rhinoplasty refers to nose surgery being performed for the first time. The result should be natural, aesthetically pleasing and in proportion to the rest of the face.
Whether you feel your nose is too big or too small; too thick or too thin; too long or too wide; or too crooked, pointy or bulbous; surgery can alter and enhance its size and shape in a number of ways.
Rhinoplasty requires careful consideration of all facial features and your surgeon will carry out a thorough consultation and examination in respect of this.
There are two main techniques used:
The closed approach: an incision is made within the nostrils.
The open approach: an incision is made across the columella (the vertical bit of tissue separating the nostrils).
Excellent results can be achieved with both approaches and the technique used depends upon individual circumstances.
What happens during Nose Reshaping/Rhinoplasty Surgery?
Your surgeon will separate the skin of the nose from its supporting framework of bone and cartilage then sculpt to the desired shape. Rhinoplasty is highly personal, and the surgeon will tailor the sculpting process according to the problem. At the end of the surgery, the skin will be re-draped over the new framework and small, mouldable splints applied. These must remain in place for several days.
The procedure is performed under general anaesthetic with an overnight stay in hospital.
Initial bruising and swelling will subside after one to two weeks. Some swelling may last for several months.
Complications are rare but some cases (about 5%) may require further surgery to adjust minor irregularities and asymmetries.
See Tamsin Culmer’s Rhinoplasty success story below:
Rhinoplasty with Graft
Many rhinoplasty procedures involve adding tissue in the form of grafts to increase the size or build upon the shape of the nose. A graft will also support the nose and ensure the end result is as natural as possible. This form of surgery is called Augmentation Rhinoplasty. What happens during Rhinoplasty with Graft Surgery? The surgeon will take a graft of bone or cartilage from the patient’s body. Bone may be harvested from the hip, rib, elbow or outer surface of the skull and will not affect the donor bone in any way. Alternatively, ‘surplus’ cartilage can be retrieved from the ear or inside of the nose. Although synthetic materials have been successfully applied in these instances, using the patient’s own tissue prevents the possibility of rejection, which may occur when a foreign material is inserted into the body. The procedure will be performed as primary rhinoplasty with the addition of the graft.
In some cases, the tip of the nose may be the only area requiring surgical attention. Tip rhinoplasty can refine/reshape the tip of the nose if it appears too large or out of proportion. This part of the nose is mostly cartilage and soft tissue, so no bone work or fracturing of the bone is undertaken. What happens during Tip Rhinoplasty Surgery? The tip of the nose cannot normally be operated on from inside, so an incision across the columella (the tissue between the nostrils) is required, which will leave a visible scar. Following surgery, the wound will be closed with removable stitches on the outside. The procedure will take place under a general anaesthetic on an outpatient basis or with an overnight stay in hospital.
Septoplasty is performed to correct damage or deviation to the septum (the partition of cartilage inside the nose separating the two nostrils). This may be due to an injury or a birth defect and can cause problems such as breathing difficulties, snoring, blockages, sinus and/or ear pain, excess mucus or allergy-type symptoms. What happens during Septoplasty Surgery? The surgeon will make an incision in the skin over the septum inside the nose then straighten out the cartilage and move it back into the middle of the nose. Further back in the nose, the septum changes to bone. If this bone is crooked, small pieces will be removed to make it straight again. Full straightening/correction may not always be possible as this is dependent upon the severity of the deviation. The incision is closed with dissolvable stitches and splints are applied over the nose to keep it in position. These are removed the following day. The procedure is carried out under general anaesthetic, on an out-patient basis, or with an overnight stay in hospital.
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