Rhinoplasty, conventionally known as a ‘nose job’ is one of the most popular cosmetic surgeries performed worldwide, and can make a remarkable difference to the appearance of the face, improving the overall confidence, self-esteem and social ease of the patient. People may also opt for a nose job to correct breathing problems, to repair the nose after an accident or illness, or to correct a deviated septum.
Rhinoplasty Comparison Table
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- Most surgeons recommend a thorough consultation before the patient commits to the operation, in order to ascertain what it is the patient expects from the operation, and to make sure these expectations are realistic. The surgeon will then give advice on how to prepare for the operation, which may include rescheduling the procedure if the patient has a cough, cold or sore throat.
On the day of the operation the patient will be asked to sign a consent form, and to avoid eating or drinking for several hours because of the anaesthetic. The surgeon will examine and measure the nose.
- In a reduction rhinoplasty, the surgeon will make incisions inside the nostrils and remove or rearrange some of the bone and cartilage. It may also be necessary to make a cut in the skin between the nostrils, and to reduce the size of the nostrils themselves by making fine cuts in each side.
In an augmentation rhinoplasty, the surgeon will make a cut inside or between the nostrils and may need to insert extra cartilage or bone, which will be taken from another part of the body in a separate procedure. Occasionally silicone implants may be used instead.
- Patients are usually able to go home the same day, and will have dressings in the nostrils to prevent breathing through the nose, as well as a splint over the nose to support it. A follow-up appointment will be arranged, and the patient will be advised to take at least a week off work.
Rhinoplasty is a popular and widespread form of cosmetic surgery, and as a result the procedures it involves have been highly developed and refined. It is usually safe, quick and relatively painless. Patients do not only opt for a nose job as a way of improving their appearance. Some may wish to correct a birth defect or a respiratory problem, or to repair the nose after an accident or trauma. The term ‘rhinoplasty’ covers a wide variety of procedures, and it is usually possible for surgeons to design the operation specifically to suit their patient’s needs and desires, whether a major change is required, or just a minor adjustment.
Unlike many procedures in cosmetic surgery, rhinoplasty usually leaves no visible scarring, since most of the work can be carried out inside the nostrils. On occasions where an external incision is necessary, the scarring is usually extremely minor and almost imperceptible.
The operation is also a lot less traumatic than other cosmetic surgery options. The patient is usually discharged within a few hours of the procedure, and may be back at work within a week, meaning that there is minimal disruption of their day-to-day life.
Most rhinoplasty patients report high levels of satisfaction with their nose job, and many claim that it has significantly increased their levels of self-esteem, and made them happier with the way they look.
Although most patients are happy with the result of their nose job, the number of clinics that offer secondary and corrective rhinoplasty speaks for itself. Sometimes the initial procedure will not have the desired effect, and the patient will either return for a further operation, or seek out a new surgeon in an attempt to improve on the previous procedure. It is important for patients to be aware that the scope of rhinoplasty is limited by the anatomy of the existing nose, and certain radical changes will not be possible.
As with any surgery, rhinoplasty carries risks such as haemotoma, infection, deep vein thrombosis and an unexpected reaction to the anaesthetic. There is also likely to be swelling or bruising around the eyes, which may last for up to a month after the operation, and numbness and stiffness of the nose, some of which can be permanent.
There are also additional complications that may occur, such as skin problems, broken capillaries or visible scarring, increased dark circles beneath the eyes, nasal problems (including congestion and loss of sense of smell), and even occasionally loss of sight and damage to other sensory organs. On rare occasions the surgeon may accidentally perforate the septum, which can lead to chronic nosebleeds, crusting of nasal fluids and breathing difficulties.
- I am unhappy with the shape of my nose, but wary of undergoing a full surgical procedure. Are there any non-surgical alternatives to rhinoplasty?
I have a very specific nose shape in mind that I am trying to achieve. Will it be possible to recreate this, bearing in mind the current anatomy of my nose and the shape of my face? To what extent will I have to compromise my vision?
- I am unhappy with a previous nose job, and would like to have it corrected, so that my nose better suits the shape of my face. Are there any additional risks in undergoing a second rhinoplasty? Is there any danger that my nose might collapse?
I have a very large nose, and suspect I would require open rhinoplasty to reduce its size. I am concerned that this would leave visible scars. Could you let me know whether it is possible to hide scars in any way, and how they might otherwise be minimised?
- Do you specialise in the particular procedure that my nose requires? If not, do you have adequate experience in this area, and are you able to provide testimonies from previous patients? Alternatively, would you be able to refer me to a more suitable colleague?
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