Rhinoplasty (nose job) 2018-06-15T00:13:51+00:00

Rhinoplasty

Costs

Traditional rhinoplasty costs £1,950

Ethnic rhinoplasty costs £2,300

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Rhinoplasty, known as a nose job, is a plastic surgery procedure of the nose. There are two types of surgery:

– Functional, which is an ENT corrective surgery, used to repair defective nasal structures that lead to breathing problems.

– Cosmetic (i.e., aesthetic plastic surgery), which consists of reshaping the upper bones or cartilage of the nose.

Although they serve different purposes, these two types of nose surgery can be performed at the same time. We strongly recommend candidates be at least 16 years old, to ensure the face is fully developed.

Before your surgery

– A routine preoperative assessment is carried out as prescribed.

– The anaesthesiologist will be seen in consultation no later than 24 hours before the operation.

– Avoid taking medications containing aspirin within 10 days prior to your surgery.

– Stop smoking at least one month prior to surgery.

– You are required to fast (not eat or drink anything) for 6 hours before the procedure.

Day of Surgery

Depending whether it is to reduce a bone or a bump or remove excess cartilage, the procedure is performed under local or general anaesthesia. Rhinoplasty may take from 45 minutes to 2 hours. The length of hospital stay is 1 to 2 days.

Rhinoplastie

Incisions are often hidden inside the nose or under the upper lip. There are no scars visible from the outside.

To correct a hump on the nose that is too visible, the surgeon will remove excess bone. The space created by the removal of the hump is tightened to make your nose not only straighter, or even convex, depending of what you want, but also give you a more refined profile.

If you would like to change the shape of your nose’s tip, there are several possible techniques to make it finer: reducing the lower lateral cartilage of the nose (which forms the tip of the nose), suturing the cartilages together or adding cartilage grafts to reshape the nose the way you want.

Bandages and splints: Absorbent packing materials may be inserted in each nostril. A modelling bandage is placed on the nose surface and held in place with small adhesive splints. Finally, a protective and supportive nasal splint, made of plaster, plastic or metal, is moulded and fixed on the nose, sometimes going up onto the forehead.

Bandages and splints: Absorbent packing materials may be inserted in each nostril. A modelling bandage is placed on the nose surface and held in place with small adhesive splints. Finally, a protective and supportive nasal splint, made of plaster, plastic or metal, is moulded and fixed on the nose, sometimes going up onto the forehead.

After your surgery

– There is rarely any pain after this surgery. The most unpleasant part is not being able to breathe through the nose for the first few days (due to the packing inside your nostrils).

– Swelling and bruising are common after rhinoplasty, especially on the eyelids. The degree and duration of those symptoms varies from one patient to another.

– Get plenty of rest and avoid all exertion for the first days following surgery.

– The packing will be removed 1-5 days after surgery. At 5-8 days, the splint will be removed and sometimes replaced with a new splint for a few more days*.

– The nose will still look swollen and respiratory discomfort might still be present, due to swelling of the mucous membrane and possible scab formation in the nasal cavities*.

– The swelling and bruising gradually subsides. You will be able to return to your normal social and work activities after a few days (10 to 20 days depending on the individual case)*.

– Avoid sun exposure for the first weeks or as long as bruising persists.

– Avoid strenuous activities for the first 3 months*.

Possible Complications

– During the consultation, the anaesthesiologist will carefully explain the potential anaesthesia risks.

Please note that anaesthesia of any kind can cause reactions in the body that are sometimes unpredictable, some of which are easier to control than others. The likelihood of these complications is greatly reduced in the hands of a competent anaesthesiologist experienced in a surgical context.
Techniques, anaesthetics and monitoring methods have enormously improved over the last thirty years, and are very safe, especially when the operation is performed in a nonemergency situation on a healthy person.

– With regards to the surgery: Choosing a qualified and competent plastic surgeon that performs this type of surgery regularly limits the risk of complications, but does not eliminate them.
Fortunately, true complications after rhinoplasty are extremely rare in an approved surgical setting. Done carefully, the vast majority of procedures go smoothly and patients are very satisfied with the way the procedure turns out. Rhinoplasty complications are infrequent. Nevertheless, there is always a possibility of complications, including:

    • Bleeding is common for the first few hours but usually remains very moderate. In case of profuse nasal bleeding, deeper packing or a repeat surgery might be required.
    • Haematoma may require evacuation if too big or painful.
    • Infection is very rare, even with the natural presence of microbes in the nasal cavities. Infection can be controlled with an appropriate treatment, if necessary.
    • Unsightly scars, when they exist, concern only external scarring and are rarely so unattractive that they require a touch-up.
    • Skin damage, although very rare, is always possible, often due to the nasal splint or tobacco use. Simple wounds and erosions heal spontaneously without leaving any traces, unlike skin necrosis, luckily very rare, which often leaves a small area of scar tissue.

Mucous and cartilage damage has been reported in a few rare cases of perforation of the nasal septum that needed to be repaired. This perforation of the nasal septum often goes unnoticed but can sometimes cause an annoying whistle that warrants surgical correction.

Disclaimer: Results may vary from one person to another depending on the patient’s body shape.

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