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Rhinoplasty – 5 steps to a new nose

When it comes to rhinoplasty – aka nose job – there is a still a huge stigma surrounding the procedure and a lot of misinformation floating about. This is not only damaging for plastic surgeons, but also patients too.

Mrs Carla M Babicki  |  RGN

Last Updated On: July 12, 2024 | Published On: May 7, 2018

mr-shivram-singh-2

Medically reviewed by Mr Shivram Singh MBBS, FRCSI, FRCS (Plast), Medical Director & Lead,
Medical Advisory Committee for Manchester Private Hospital
Last Reviewed August 2nd 2022

The reality is, rhinoplasty is great and suitable for some patients, but not for others.
A lot of it comes down to personal preference and life goals.
Below we discuss the process and correct information on rhinoplasty in 5 simple steps that are easy to digest.
Our aim is to make things as clear as possible so that we can put rumours to bed and help create a more truthful environment for those considering this procedure.

Step 1 – Consultation

  • The aim with rhinoplasty is to sculpt the nose so that the patients feels better about themselves, boosts self confidence and balances a person’s face.
  • This can be achieved by sitting down with a consultant and discussing any issues, what the end result will be and what procedures are available for each individual.
  • A consultation is the first step in any rhinoplasty procedure, where both the patient and surgeon can table their ideas and discuss procedure information.
  • Here the patient can look at photographs and talk about what the operation involves, including the risks and concerns.
  • With modern technology, it is sometimes possible to see what you could look like by morphing the new shape nose on to a current patient photograph.
  • Patients are also shown before and after shots of other patients with similar issues and end goals.
  • It is also an important during this step to find out if you are an ideal candidate for rhinoplasty – not all patients will be.

Step 2 – Ideal Candidate

Not every patient is an ideal candidate for a nose job. However, the following short checklist will help patients understand if the procedure is right for them:

rhinoplasty - nose correction surgery

– Patient has a bump at the nose bridge
– Patient has a nose that is too narrow or wide
– Patient’s nose is not symmetrical
– Patient has a round or bulbous nose tip
– Patient has a nose tip that droops / hooks
– Patient has trouble with their airways

  • It is important to note that most patients have not reached nasal maturity until at least the age of 15.
  • Surgery before the nose is mature enough is not considered. This is because the nose is still changing and growing.

Step 3 – Preparation

  • With most cosmetic surgery procedures, preparation is key to smooth surgery and good recovery.
  • It is important to try and minimise side effects of surgery, including bleeding, bruises and swelling.
  • Patients are often advised to avoid smoking and excessive alcohol intake for around 4 weeks prior to surgery.

Step 4 – Procedure

  • To perform rhinoplasty, incisions are made either inside or outside the nose. In some cases incisions will be made internally and externally.
  • The procedure is often performed on an outpatient basis, meaning that no overnight stay in hospital is required. However, in some cases an overnight stay may be required.
  • Internal incision rhinoplasty is known as closed surgery, whereas external incision rhinoplasty is known as open surgery.
  • In open rhinoplasty, a small scar may be visible after surgery. Often incisions are made on the columella – the bridge of tissue that separates the nostrils at the base of the nose.
  • Whilst incision specifics can be discussed during a consultation, ultimately a surgeon will advise on the procedure that is right for you and the modifications required.

Step 5 – Recovery

  • Recovery from rhinoplasty depends on the type of procedure and how extensive the surgery is.
  • For most nose procedure to average downtime for a patient is one to two weeks.
  • The split can often be removed from the nose after the first week post surgery and patients can go out in public with little bruising.
  • Recovery from rhinoplasty is considered both short term and long term.
  • The short term recovery follows immediately after the procedure, however, long term healing can continue for 12+ months. This is because the skin on the nose shrinks and adapts to a new shape.
  • Pain that is felt from undergoing rhinoplasty surgery is usually reported as being well managed with prescription painkillers.

To know more about rhinoplasty or nose correction, please visit: https://www.manchesterprivatehospital.co.uk/cosmetic-surgery/nose-surgery/

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