Surgery to reshape the nose, or Rhinoplasty, is one of the most commonly performed plastic surgery procedures. It can be used to reduce or increase the size of your nose, change the shape or help relieve some breathing problems. Rhinoplasty may also be used to correct birth defects or injuries.
Most cosmetic rhinoplasties can be performed through incisions inside the nose so that there are no visible scars.
At 152 Harley Street, some forms of Rhinoplasty can be carried out under Local Anaesthetic & Sedation in our state-of-the-art day case theatre. You will be able to leave shortly after your procedure, but still receive the same thorough and excellent aftercare that you would expect with a general anaesthetic. For those living outside of London, we are able to personally arrange for you to stay in our partner hotel in Marylebone, just a few minutes from 152 Harley Street.
“Rhinoplasty can be used to reduce or increase the size of your nose, change the shape or help relieve some breathing problems”
PLANNING YOUR SURGERY
A detailed consultation is essential. Your consultant plastic surgeon will discuss with you what you would like your nose to look like, evaluate the structure of your nose and face and discuss the possibilities. Digital photographs may be taken and altered on the computer to aid the discussion of an ideal shape. Your surgeon will discuss the factors that can influence the procedure and the results. These factors include the structure of your nasal bones and cartilage, the shape of your face, the thickness of your skin, and your age. Previous nose surgery or an injury to your nose, even if it was many years ago may affect your surgery.
A general anaesthetic is usually required for rhinoplasty, however at 152 Harley Street, some forms of Rhinoplasty can be performed under Local Anaesthetic & Sedation. The surgery takes between one and two hours.
Many cosmetic rhinoplasties are undertaken entirely through incisions inside the nose leaving no visible scars. Where more complex surgery is required, for example to correct an asymmetry or perform a revision rhinoplasty, an open rhinoplasty approach is sometimes required. This involves making an incision on the columella (The part of the nose between the nostrils).
During surgery, the skin of the nose is separated from its supporting framework of bone and cartilage, which is then sculpted to the desired shape. Adjustments to the bone and cartilage of the nose are made to correct the shape.
Finally the incisions are repaired with fine sutures (stitches). Dissolvable sutures are used inside. Part of the open rhinoplasty incision is closed with very fine sutures that are removed a week after surgery. A light plastic splint is placed over the nose to protect it for the first week.
All surgery is associated with some risk. Complications following rhinoplasty are infrequent and usually minor. It is quite common to notice a little bleeding for a couple of days after surgery. More severe bleeding is uncommon and can generally be treated by sitting up and applying a cool gauze lightly against the nostrils.
AFTER YOUR SURGERY
After surgery, particularly during the first twenty-four hours-your face will feel puffy, your nose may ache, and you may have a mild headache. There may be swelling and bruising around the eyes. In order to reduce this, you will be nursed sitting up after the surgery and also asked to sleep slightly sitting for the first few days.
Although there is some discomfort, rhinoplasty is not usually painful. The swelling and bruising around your eyes will increase at first, reaching a peak after two or three days. A little bleeding is common during the first few days following surgery and you may continue to feel some stuffiness for several weeks.
The plastic splint and any non-dissolvable sutures are removed a week after surgery. Most of the swelling and bruising should disappear within two weeks or so.