January 15, 2025

Rhinoplasty (Nose Surgery): A Plastic Surgeon’s Guide

January 15, 2025

Image rhinoplasty guide

Rhinoplasty, or nose surgery, is a procedure that reshapes the nose to enhance its appearance, improve functionality, or both. It can address cosmetic concerns such as size, shape, or symmetry and correct structural issues like a deviated septum or collapsed nasal valves that affect breathing. 

The surgery is tailored to align with each individual’s anatomy and goals, ensuring results that balance aesthetics and functionality while harmonising with other facial features.

Ideal Candidates for Rhinoplasty and Its Benefits

Rhinoplasty is suitable for individuals seeking to enhance the form or function of their nose. Typical candidates include those who:

  • Want to refine the shape, size, or proportions of their nose for improved facial harmony.
  • Wish to correct specific concerns such as a dorsal hump, crooked bridge, wide nostrils, or bulbous tip.
  • Experience breathing difficulties caused by structural abnormalities, including a deviated septum.
  • Require reconstruction of the nasal structure after trauma or prior surgery.

Benefits include:

  • Enhanced Facial Balance: A reshaped nose improves overall facial harmony by complementing other features.
  • Improved Breathing: Structural corrections restore proper airflow and alleviate nasal obstruction.
  • Increased Confidence: Refining the nose’s appearance can improve self-image and satisfaction.
  • Customised Results: The procedure is adapted to individual preferences and anatomy for natural-looking outcomes.

Rhinoplasty Techniques

Rhinoplasty is performed using two primary approaches, selected based on the complexity of the procedure and the individual’s needs.

Open Rhinoplasty
This method involves a small incision at the columella, the tissue between the nostrils, allowing the skin to be lifted for full visibility of the nasal structure. Open rhinoplasty is preferred for extensive reshaping, addressing significant asymmetry, or correcting deformities.

Closed Rhinoplasty
All incisions are made within the nostrils, leaving no visible scars. This less invasive approach is ideal for minor adjustments or subtle modifications, offering a shorter recovery time compared to open rhinoplasty.

The choice between open and closed rhinoplasty depends on the desired changes, the patient’s nasal anatomy, and whether the focus is cosmetic, functional, or both.

The Rhinoplasty Procedure: What to Expect

Consultation
The process begins with a consultation, during which the surgeon evaluates the nose structure, facial proportions, and any functional concerns. Desired outcomes and the most suitable technique are discussed. Imaging tools or simulations may help visualise expected results.

Anaesthesia Administration
Rhinoplasty is typically performed under general anaesthesia, ensuring comfort throughout the procedure. For less extensive modifications, local anaesthesia with sedation may be sufficient.

Surgical Process

Open Rhinoplasty
A small incision is made at the columella, and the skin is lifted to access the nasal framework. The surgeon reshapes the cartilage and bone to achieve the desired results.

Closed Rhinoplasty
Incisions are made inside the nostrils, allowing adjustments without external scars.

Modifications may include refining the nasal tip, narrowing the nostrils, or correcting functional issues such as a deviated septum.

Closing the Incisions
After reshaping, the surgeon repositions the nasal skin and closes the incisions with fine sutures. Splints or dressings are applied to support the nose during initial healing.

Recovery After Rhinoplasty

Recovery varies by individual and the complexity of the procedure but generally follows these stages.

First Week: Swelling, bruising, and nasal congestion are common. Splints and sutures, if used, are typically removed within 7–10 days. Mild discomfort is managed with prescribed medication.

Weeks Two to Four: Swelling gradually reduces and breathing through the nose improves. Most daily activities can be resumed, but strenuous physical activities or contact sports should be avoided.

Three to Twelve Months: Subtle swelling continues to diminish, and the nose settles into its final shape. Patients are advised to protect the nose from trauma and avoid pressure from glasses resting on the bridge.

Post-operative instructions often include using prescribed ointments, avoiding blowing the nose, and attending follow-up appointments to monitor healing.

How Long Do The Results Last?

The results of rhinoplasty are long-lasting, as the structural changes made during surgery are permanent. While natural ageing or lifestyle factors may subtly alter the nose’s appearance over time, the enhancements achieved typically remain stable. Following recovery guidelines and maintaining a healthy lifestyle can help preserve the results.

Possible Risks and Complications

Rhinoplasty is generally well-tolerated, but potential risks include swelling, bruising, and temporary nasal congestion, which usually resolve during recovery. Minor irregularities or asymmetry may occur but can often be corrected. 

Rare complications include infection, excessive scarring, or changes in skin sensation, such as numbness around the incision site. Breathing difficulties may arise if the nasal passages are inadvertently narrowed. Careful planning and adherence to post-operative instructions can reduce these risks.

Conclusion

Rhinoplasty enhances the nose’s appearance and function, creating results that align with individual goals and facial proportions. Whether seeking aesthetic refinement or relief from structural issues, the procedure offers a customised approach to help patients achieve a harmonious and functional nose.

Contact Dr Marco for a detailed consultation and a personalised surgical plan tailored to your needs.