Rhinoplasty or “Nose job” is a surgery to reshape the nose. Often, breathing problems are treated at the same time. Rhinoplasty requires a good appraisal of how changing one dimension of the nose affects the overall nasal appearance, and consequently facial appearance. Often, several of rhinoplasty procedures have to be done together to achieve the best result and an “unoperated” or normal looking nose. For example, even though if you had just wanted the nose bridge “higher”, the results won’t be ideal if the ×at nose tip is not raised at the same time. Rhinoplasty requires a good appraisal of how changing one dimension of the nose affects the overall nasal appearance, and consequently facial appearance.
Rhinoplasty is at the same time both art and science. There are many pros and cons of rhinoplasty to consider when performing rhinoplasty. Surgery of the tip can affect the appearance of nasal length for example. There are surgeons who possess good rhinoplasty skills, understand the functional anatomy and physiology of the nose, balanced with a good aesthetic sense, but they are not common. Also, rhinoplasty being a technically unique surgery means that a surgeon who can perform an eyelid surgery perfectly for example, may not be able to do a good rhinoplasty, or vice versa. Lastly, rhinoplasties can sometimes be frustrating and unforgiving when certain fundamentals, limitations and principles are ignored while performing surgery on this three dimensional structure in the middle of your face. Each case has its own challenges and requires a careful estimation of the deformity preoperatively, a clear understanding of the techniques available for correction, a proposed plan of action and sequence, and a meticulous, uncompromising execution of the surgical technique.
No two persons have exactly the same nose and needs, and rhinoplasty should never be a “one size to fit all” surgery. In addition, there are other factors to consider, such as quality of environment (for instance, sterility of operating room), quality of care and follow up, quality of equipment/instruments, and credentials of the surgeon
It can be performed via an “open” or ‘’closed’’ approach – key difference between the two procedures being the presence of a 1cm scar at the columella, which usually heals very well and is hardly noticeable. Discuss with your surgeon to determine which procedure is best suitable for you.
Both Gore-Tex and Silicone nose implants are well established implants with a reasonably good track record. Because of their different physical properties, each can be good for specific situations. There is no “one size fits all” when it comes to implants, and the pros and cons should be carefully considered with respect to each unique patient. The most ideal material however, is using your own cartilage, whether from the nose, ear or rib. Autologous (self) material often gives the greatest peace of mind as they carry the lowest infection rates of all materials. The problem with using autologous material is that it often requires considerable experience and skill before the surgeon can shape these cartilages to give the form he intended.
Rib, or any autologous material is always superior to any of the (allo)plastic options in terms of safety. Remember that this implant in your nose will stay there for 20, 30, 40 years or more. That said, it depends heavily on the surgeon’s skills and experience. Without proper experience, a rib rhinoplasty can just as easily go awry and you might be better off using an alloplastic implant. Ideally, your surgeon should be comfortable with all options in order to give you the most objective advice.
A simple augmentation can take as little as 45 minutes to an hour and you can go home the same day. A more complex problem may take up to 6 hours and require revisions at a later date to fine tune the results.
Depending on the extent of work required, rhinoplasty can be done either under sedation or general anesthesia.
Usually rhinoplasty is performed as a day surgery and you can go home on the same day. Occasionally, an overnight stay may be preferred for the effects of anesthesia to wear off completely, or if there is lack of caregivers at home.
Most of the stitches are removed on the 5th day. The nasal splint is worn for 1 to 2 weeks, and within two weeks, most of the bruising and swelling will be resolved.
Depending on the extent of the surgery, you will be able to resume most of your normal activities by 1 to 2 weeks. However, smoking, exercising and alcohol consumption are preferably held back for another 2 weeks.
Getting a nose job worth it for any person with breathing problem who wants clearer breathing, or anyone who desires some changes to his/her nasal appearance, or both.
Form refers to the shape of the nose, while function refers to the nose breathing properly. Rhinoplasty can alter both form and function, and that is why it is a double edged sword that requires a good understanding of both. Otherwise, the form can get compromised while treating the function; or vice versa.
Yes, you can. Choose the best rhinoplasty surgeon with a good understanding of both for best results.
The rhinoplasty risks include
Yes, but to put things into perspective, most of them are very low risk (in the order of <1%), while others are transient and recover with time. On the other hand, complications like infection, implant extrusion and nasal collapse are real risks with serious consequences, though their incidence may not be high (1-10%). It is impossible to eliminate all risk, but you can improve your chances and outcome if you choose your surgeon wisely.
The first time is always your best chance. Don’t squander it just to face the uphill challenge of undoing damages later. As mentioned before, rhinoplasty is a demanding surgery where you can get complications in either form and/or function. Correcting the bad rhinoplasty results is often difficult and costly. Patients considering septoplasty for breathing problems should likewise think about whether to have augmentation at all, as precious cartilage material required for rhinoplasty is often discarded during septoplasty. After a septoplasty, the options for rhinoplasty in future often include a rib harvest.
Rhinoplasty can be a technically demanding surgery, requiring a good understanding and flair for both the art and science to it. The best rhinoplasty surgeon:
a. Rhinoplasty is a family of many procedures. Sometimes the rhinoplasty cost quoted may be surgery of a single “portion”, such as implant insertion, rather than a comprehensive analysis of the entire nose and face. Is that surgeon performing only one “kind” of rhinoplasty? No two persons have exactly the same nose and needs, and rhinoplasty should never be a “one size to fit all” surgery. Discuss with your surgeon what your surgery entails to have a better idea what you are paying for.
b. Consider if there is a need for assessment of function such as nasal endoscopy as this can sometimes mean more cost.
c. Paying for the most expensive surgeon does not necessarily mean the best results, but the converse is more likely to be true. To keep prices lower than the rest, often compromises have to be made somewhere. Bear in mind that a poorly performed surgery may be much more costly to correct in future.
d. In addition, there are other factors to consider, such as
Cosmetic surgeries are not insurance or medisave claimable. However, functional problems are eligible for claims. If you desire cosmetic nose job enhancements while treating functional problems, you can claim the functional half of the surgery, but will have to pay for the cosmetic portion yourself.
Book an appointment with the best rhinoplasty clinic via
a. We will need to know your full medical (for example, diabetes, Hepatitis, blood problems, heart problems, what medication you are taking), surgical and previous cosmetic history.
b. Photos are taken and an analysis is done with you. Pros and cons, risks and complications will be advised. It is good if you have thought about what you are dissatisfied with and the goals you hope to achieve prior to the rhinoplasty consultation.
c. During the consultation, depending on whether you have breathing problems, a nasal endoscopy may be performed.
d. After the consultation, you may take your time to consider whether you are are ready to proceed with surgery
On the day of surgery
After the surgery
Typically most patients return to their normal activities by 2 weeks. However, exercising, smoking and alcohol consumption are best avoided till 1 month after surgery.
There is no problem at all. Contact us online or via messaging and we are happy to advise or make necessary arrangements for you if required.
Dr Tan is an ENT surgeon trained in Facial Plastic Surgery. He spent one year fulltime in Seoul to refine his surgical skills in Shimmian Rhinoplasty Clinic (best plastic surgery clinic in Korea), a high volume rhinoplasty centre in Gangnam. He is deeply intrigued with this beautiful surgery and has spent most of his post training years performing rhinoplasty and giving lectures on his favourite subject to offer the best rhinoplasty results.
Ms Lee is a clinic nursing manager from South Korea who spent many years in the cosmetic circuit in Seoul. Having spent many years in Shimmian Rhinoplasty Clinic, she too has a special relationship with rhinoplasty.
To this day, both Dr Tan and Ms Lee maintain a close relationship with Shimmian directors Dr Jung Dong Hak, Dr Han Seong Yik and Dr Chang Geun Uek.
The creation of The Rhinoplasty Clinic is a very natural progression of Dr Tan’s passion in this subject. Dr Tan also believes that only through a dedicated commitment to a craft, can there be a mastery and true competence. He envisions providing evidence-based, proven rhinoplasty results to his patients in the safest and secured way. His inspiration comes from observing the sufferings of so many patients with poorly done nose jobs due to the lack of information. He hopes to be able to educate both patients and young doctors alike to improve the standard of care for rhinoplasty patients.
We’d love to show you our results too! Unfortunately, in compliance with Singapore’s Ministry of Health guidelines, before and after pictures are not allowed to be used on Singapore registered clinics’ internet sites.
Do visit us at our clinic and we would be happy to share our results with you!