Rhinoplasty (Nose Job) is the procedure to correct a mis-shapen nose. This can be because of injuries in the past, or because your nose has grown into the shape it is. The shape of the nose is intrinsic to the overall appearance of the face. Reshaping the nose via a Rhinoplasty can soften the face and direct attention away from the nose, providing a more ‘balanced’ face. The operation involves making cuts on the inside of the nose and reshaping it, particularly the bridge of the nose. Rhinoplasty can also alter the tip and of the nose and nostrils but usually requires small skin incisions as well.
Conceptually, Rhinoplasty is one of the most difficult operations to learn as a surgeon because of the complex 3D anatomy and cosmetics of the nose. As such there are many variations upon the operation. Each builds upon the last, so that it would be unusual to perform a Tip Rhinoplasty and not address the hump of the nose, as per a Standard Rhinoplasty.
A Standard Rhinoplasty involves incisions inside the nostrils, where the scars are not visible. The bridge of the nose is re-shaped, and usually the sides of the nose are repositioned to re-define the shape of the nose. In doing so, it is necessary to cut through the bone of the nose, effectively giving the patient a ‘broken’ nose. It is this that gives most of the bruising, and which usually requires you to wear a splint or cast on the nose for a week after the operation.
A Septo-rhinoplasty further involves changing the shape of the septum, the piece of tissue in the middle of the nose separating one nostril from another. This might be because the septum is bent or mis-shapen, and affecting air flow, or because the abnormal shape of the septum will prevent the correction of the dorsum of the nose. This involves a bigger cut within the nose, but no visible scars otherwise.
A Tip Rhinoplasty is for patients who need the soft, lower part of the nose re-shaped. This part of the nose is mainly cartilage and soft tissue but usually cannot be operated upon from within the nose. For this reason a small cut across the skin between the nostrils is needed, and this gives a visible scar after healing. It also affects the blood supply to the tip, as well as the sensation, so that patients will notice that the tip can be swollen for a lot longer than with other Rhinoplasty techniques, and may have reduced sensation after the operation.
After your operation, you will have stitches inside the nose which dissolve, and (for a Tip Rhinoplasty) removable stitches on the outside. You will almost certainly have a splint or plaster on the nose, and this should be kept in place for a week until you are reviewed in clinic. There may be bleeding from the nose and you should avoid bending over, straining and coughing, and hot baths as much as possible. Your nose will be swollen and your face bruised for 1-2 weeks, and minor swelling may persist for many months in some cases.
In contrast to many other cosmetic surgery procedures, Rhinoplasty is an operation that, performed well, rarely needs repeating as you continue to age – indeed further surgery is fraught with problems and is usually only undertaken by experienced surgeons on a strictly need-to-do basis.
To make an appointment to discuss Rhinoplasty (Nose Job) surgery in Peterborough or Cambridge, please contact Mr Price’s secretary.