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.