What is a rhinoplasty?

Rhinoplasty, commonly known as a "nose job," is a surgical procedure that involves reshaping or reconstructing the nose. It is often done for cosmetic reasons to enhance the appearance of the nose, but it can also be performed for medical reasons to correct structural issues that affect breathing or overall nasal function.

Here are some common reasons for undergoing rhinoplasty:

Cosmetic Improvement: Many people opt for rhinoplasty to alter the size, shape, or symmetry of their nose to improve their overall facial aesthetics.

Correction of Birth Defects: Some individuals are born with congenital nose deformities, such as a cleft nose or a deviated septum, and rhinoplasty can help correct these issues.

Breathing Difficulties: Rhinoplasty can be used to address structural problems within the nose, such as a deviated septum, which can impede proper airflow and cause breathing difficulties.

Injury or Trauma: People who have experienced nose injuries, such as fractures or dislocations, may undergo rhinoplasty to restore the nose to its normal shape and function.

During the procedure, a surgeon may make incisions within the nostrils (closed rhinoplasty) or on the exterior of the nose (open rhinoplasty) to access the underlying cartilage and bone. They then sculpt and reshape the nose to achieve the desired appearance or correct structural issues. After the surgery, patients typically experience swelling and some discomfort, and it can take several weeks to see the full results as the swelling subsides.

It's important to consult with a qualified surgeon or if you are considering rhinoplasty, as they can help determine whether the procedure is appropriate for your goals and needs.

What are the risks of rhinoplasty?

Rhinoplasty, like any surgical procedure, carries certain risks and potential complications. It's important to thoroughly discuss these risks with a qualified plastic surgeon or otolaryngologist before undergoing the procedure. Some of the potential risks and complications of rhinoplasty include:

Infection: Although rare, infections can occur after surgery. These can usually be treated with antibiotics, but severe infections may require additional surgery.

Bleeding: Postoperative bleeding is common to some extent, but excessive bleeding can be a complication that requires medical attention.

Swelling and Bruising: Swelling and bruising are common after rhinoplasty and typically subside over time. However, in some cases, prolonged or excessive swelling can occur.

Scarring: While incisions for rhinoplasty are often well-concealed, there is still the possibility of visible scarring, especially in open rhinoplasty where external incisions are made.

Nasal Obstruction: In some cases, rhinoplasty can result in nasal obstruction, especially if not performed correctly or if there are complications during the healing process.

Altered Sensation: Temporary or permanent changes in sensation, such as numbness or altered smell, can occur as a result of nerve damage during the surgery.

Anesthesia Risks: General anesthesia or local anesthesia with sedation carries its own set of potential risks, including allergic reactions, adverse reactions, and complications related to the administration of anesthesia.

Unsatisfactory Results: There is always a possibility that the final outcome may not meet your expectations. It's crucial to have clear communication with your surgeon and realistic expectations about the results.

Revision Surgery: In some cases, patients may require revision rhinoplasty to address complications, achieve better results, or correct unforeseen issues.

Psychological and Emotional Factors: Rhinoplasty can have psychological and emotional effects, and it's essential to be mentally prepared for the potential emotional impact of the procedure.

It's important to choose a board-certified plastic surgeon or otolaryngologist with extensive experience in rhinoplasty to minimize these risks. They can help you understand the specific risks related to your individual case and provide guidance on how to prepare for the procedure and reduce the likelihood of complications. Proper post-operative care and adherence to your surgeon's instructions are also vital in minimizing risks and ensuring a successful recovery.

What is the recovery after rhinoplasty?

The recovery process after rhinoplasty can vary from person to person, depending on the extent of the surgery, the individual's health, and how well they follow post-operative care instructions. However, here's a general overview of what you can expect during the recovery period:

Immediate Post-Op Period (First Few Days): You will likely have a splint or cast on your nose to help support the new shape and protect it during the initial healing phase.

Swelling and bruising around the eyes and nose are common and usually peak within the first 2-3 days. You may experience some discomfort and pain, which can be managed with prescribed or over-the-counter pain medications. It's essential to keep your head elevated, even while sleeping, to minimize swelling.

First Week: You should avoid any strenuous activities, including bending over, lifting heavy objects, or intense exercise. Breathing through your mouth might be necessary due to nasal congestion and swelling.

Second Week: Your surgeon may remove the splint or cast, which can provide some relief from discomfort. While most of the initial swelling and bruising should start to subside, some residual swelling may persist for several weeks.

Weeks 3-4: Breathing gradually improves as the nasal passages heal.

You should continue to avoid strenuous activities. Swelling and bruising should continue to diminish.

Months 2-6: The majority of the swelling should have resolved by this time, but the nose may still appear slightly swollen, especially in the tip. Final results become more apparent, and your nose's shape stabilizes.

Long-Term Recovery: It can take up to a year or more for your nose to fully settle into its final shape and for any residual swelling to completely subside. Throughout the recovery period, it's important to follow your surgeon's post-operative care instructions, which may include keeping the incision sites clean, avoiding any trauma to the nose, and refraining from activities that could impact your healing. Attend all scheduled follow-up appointments with your surgeon to monitor your progress and address any concerns.

It's also important to keep realistic expectations during the recovery process. Your nose will continue to change and refine over time, and the final results may not be immediately evident.

If you experience severe or unexpected symptoms, such as excessive bleeding, severe pain, or signs of infection, you should contact your surgeon promptly. Rhinoplasty is a major surgical procedure, and a proper and cautious recovery process is crucial for achieving the best possible outcome.

How long should I take off work?

Mr Farnan recommends taking at least two weeks of work after septorhinoplasty.