Rhinoplasty is a surgical procedure to correct a nose. A rhinoplasty can be undertaken for cosmetic reasons, for repairs after an injury, including after vehicle accidents and sports accidents.
It is a popular procedure for men and women aged 18 to 40 to improve a person's nose and facial appearance.
In its 2022 annual audit, the British Association of Aesthetic Plastic Surgeons (BAAPS) estimated that rhinoplasty was one of the top UK cosmetic surgery procedures, with over 2,220 cases performed in 2022, an increase of 67%. For men, it was the most popular procedure.
Rhinoplasty is the medical term for nose job, nose reshaping or nose surgery. It is a procedure that enhances facial harmony and the proportions of your nose. It can also correct impaired breathing caused by structural defects in the nose, such as an upturned nose that causes a collapse in the nasal airway and repair damage from accidents.
At Kensington Medical we specialise in nose reshaping. Our plastic surgeons have extensive experience and will recommend the best type of nose surgery for your shape. We don't just offer one type of nose surgery. It's important to fully discuss what is the best option for the results you are looking to achieve.
There are two rhinoplasty procedures: surgical or non-surgical.
Non-surgical rhinoplasties are performed with facial fillers and alter the shape of the nose. They do not have a functional purpose. Their effects are temporary, lasting for around one year.
Surgical rhinoplasties involve changing the bone, cartilage, skin, or a combination of all three. They take one to three hours, depending on the specific surgery, and patients can go home on the day of the procedure.
At Kensington Medical, our plastic surgeons have performed hundreds, in some cases thousands, of rhinoplasties, including revision rhinoplasties.
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- Over 90 years of collective experience
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- Open, closed, preservation, experience with all types
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Different types of rhinoplasty
Nasal surgery is a commonly performed procedure with a variety of different techniques. The structure of the nose comprises skin, cartilage, and bone. Different types of rhinoplasty operations can affect one or several of them, depending on the result you want to achieve and the shape of your nose. At the consultation, your surgeon will thoroughly discuss the different options with you. This appointment will help you better understand what you want to achieve and advise you on available options.
Closed rhinoplasty is when the incisions are made through the nostrils. Also known as endonasal rhinoplasty, the advantages include:
- No external scarring
- Slightly faster recovery
The closed technique is limited in the scope of correction to the size and shape of the nose.
Open rhinoplasty is a surgical operation where the columella, the tissue situated between the nostrils, is cut open. An open rhinoplasty allows better visualisation of the nose and provides enhanced control over the desired shape of the nose. It also minimises damage to the internal structures of the nose. Also, it makes it easier for using grafts in surgery.
There are more potential complications with this technique. Difficulties are more likely to occur because this rhinoplasty procedure takes longer, and you can experience more post-surgical swelling. However, it leaves a smaller scar on your columella.
Septorhinoplasty (or Septoplasty)
A septorhinoplasty is a rhinoplasty operation that changes the shape of your nose while also restoring breathing. The primary purpose of a septorhinoplasty is to correct the position and shape of a deviated nasal septum. However, it may also be performed to remove hypertrophic (enlarged) nasal cartilage for cosmetic reasons. Depending on the condition and desired result, a septorhinoplasty can be a closed or open procedure.
A tip-plasty is the perfect option for patients who want a less invasive rhinoplasty and will take less time. A rhinoplasty is much more invasive and may be uncomfortable as it affects the cartilage in the nose and the nasal bone.
A tip-plasty only involves altering the shape of the tip and nostrils. This procedure lasts typically 45 minutes to one hour, and there will be minimal bruising after surgery. You'll be able to go back to work soon after.
The preservation rhinoplasty approach is a recent one that aims to preserve the skin, soft tissue, and network of ligaments holding the soft tissue around the nose. This procedure can be performed using either the closed or open technique. It has become popular because it minimises the need for grafts and results in less swelling and a faster recovery.
At Kensington Medical, our plastic surgeons do perform preservation rhinoplasties. Ask about it in your consultation.
Explore our blog to learn more about preservation rhinoplasties.
Your Journey with Kensington Medical
Our experienced team of Kensington Medical nose surgeons offer customised care and an individual approach to ensure you get the best results from your rhinoplasty procedure.
The start of your journey involves a conversation with your surgeon during the pre-operative consultations. This important step allows you to develop trust in your surgeon and helps your surgeon understand your objective. At Kensington Medical, individuals considering surgery often undergo multiple consultations with the surgeon. Our primary focus is to ensure that our patients are thoroughly informed before deciding about surgery and have ample opportunity to ask questions about all aspects of the procedure. Generally, our patients require two pre-operative consultations.
The initial consultation usually takes place in person. Its main objective is as follows:
- You will lay out your concerns to the surgeon and explain your objectives;
- The surgeon will give you an idea of what they can achieve by showing you examples of their work in the form of Before and After photographs;
- The surgeon will photograph your nose and, with the help of an imaging software, let you simulate the nose shape you are looking for;
- The surgeon will then suggest a treatment plan, or a number of treatment plans.
After the first consultation, we will send you the following information:
- A letter from the surgeon summarising the first consultation and suggesting a treatment plan;
- A quotation for the said treatment plan; and
- A document laying out the details of the procedure you are considering, including the pre- and post-operative precautions, the risks involved, the recovery period, etc.
In most cases, a second pre-operative consultation takes place. This is because:
- After having received the surgeon letter, the quotation and the treatment information, you will have questions that you had not thought about at the first consultation;
- The surgeon may have given you a range of options at the first consultation and will want to know which one you have chosen;
- The surgeon wants to make sure that you understand the risks involved with surgery and are aware of the pre- and post-operative precautions you should take.
This second consultation can either be in person or via a video call.
After you have been through the pre-operative consultation process, our medical staff remain available to answer any questions or concerns you may have in deciding whether to go ahead with surgery.
After you have decided to proceed with surgery, we will schedule your procedure at one of our hospitals specialising in cosmetic surgery.
You will be asked to fill out a health questionnaire prior to your surgery. Your anaesthetist will evaluate it and may contact you to go over some aspects of your medical history. You might need to visit the clinic for blood tests. One of our medical staff will go through this with you before your planned appointment.
Additionally, we will give you pre-operative instructions. In particular:
- Since smoking increases the risk of post-operative complications, you should give it up at least six weeks before your rhinoplasty.
- Ten days before to your treatment, you should abstain from taking blood-thinning medications (such as aspirin).
- You should not eat for six hours or drink for two hours before the operation.
The day of your procedure
You will be asked to arrive at the hospital one hour before the scheduled surgery time. Your blood pressure and other relevant health measurements will be taken by the hospital's nursing staff. Then you will meet your anaesthetist for a final check-up. Finally, your surgeon will mark you up in preparation for the surgery.
You will then be put to sleep and taken to the operating theatre. There are two broad categories of rhinoplasties: closed and open. In a closed rhinoplasty, your surgeon will make cuts inside the nostrils, leaving no visible scars. An open rhinoplasty involves a cut between the nostrils and allows a much wider range of possibilities.
The operation may involve a great number of different techniques and steps, depending on the objective of your rhinoplasty. For instance, the surgeon may:
- Reorientate and reshape the cartilage of your nose, particularly the nasal tip, into a more aesthetically pleasing shape;
- Break the bone of your nose and remodel the cartilage to change its shape (straighten it, remove a bump, correct a deviation);
- Remove some of the bone and cartilage to reduce the size of your nose;
- Take some cartilage tissue from your ear and use it as a graft to enlarge your nose.
In most cases, we perform this procedure under general anaesthesia. It lasts 1.5 to 3.0 hours. The operation does not generally involve an overnight stay in hospital.
You will be transferred to the hospital's recovery room after your procedure, where the nursing team will monitor your recovery. Depending on the surgery, you should spend two to four hours there. Your nose will be fitted with a protective cast, which you will wear for around one week after the operation. You will leave the hospital with a friend or a family member after the nursing staff is confident that you are fit enough to return home. You should make plans for a friend or a family member to spend the first night post-surgery with you. Although the pain post-operatively is generally not severe, you will be given painkillers just in case.
Our nursing staff will be on call after you are discharged from the hospital to make sure your recovery is as pain-free and comfortable as possible and to answer any questions you may have.
The aftercare is a critical step to ensure the best outcome for your rhinoplasty.
In the weeks following your operation, your surgeon will meet you several times in consultation to deliver your post-operative care:
- On the day following the operation, the surgeon will inspect the wounds and dressings and remove any drains.
- The surgeon will conduct another consultation one week after the procedure. At that stage, he will remove the cast and remove stiches / sutures.
- You will visit the surgeon once more six weeks after the procedure. The surgeon will review your recovery and pay particular attention to how the swelling is coming down. At that stage, 80% of the swelling has gone and certain patients get discharged.
- When the swelling persists for longer, there will be a last visit three to six months post-operatively. Generally, all the swelling has gone after six months.
Based on your state of health and on the nature of your operation, our medical staff will provide you with specific aftercare recommendations, including when it is safe to resume your daily activities such as work, exercise, travel, etc. To minimise the likelihood of post-operative complications or adverse outcomes, it is crucial that you follow these directions carefully. In particular, you should not wear glasses for two weeks after surgery; and you should not practice sport for six weeks after surgery.
Because exposure to the sun can result in scars, discoloration, and other undesirable side effects, protecting your face from the sun in the weeks after the operation is important. When outdoors, you should wear a hat and use sunscreen. You should also refrain from activities demanding significant facial movements (such as singing or acting) for a few weeks post-surgery. Our medical team will tell you when you can resume your normal activities.
You can ensure that you get the best outcome from your rhinoplasty by adhering to the advice of our medical staff and by protecting your face as highlighted earlier. A healthy lifestyle also makes a significant, positive contribution to the healing process and the surgical outcome. This includes getting enough rest, having a balanced diet, and keeping well hydrated at all times. Additionally, it is recommended to abstain from smoking and drinking both before and throughout the recovery process.
Follow-up care appointments
Following rhinoplasty, you must attend the pre-booked follow-up appointments with our nurse and your plastic surgeon to ensure proper healing and the desired outcome from the procedure. Our nurse will provide you with this information and instructions on appropriate aftercare and when to return for further follow-up appointments.
How to achieve the best results
Ensuring proper aftercare throughout recovery is critical to achieving the best possible results. Suggested tips are given to help you get the most out of your rhinoplasty. Such as:
- Follow all postoperative instructions carefully and accurately
- Avoid excessive sun exposure
- Wear sunscreen when outdoors
- Avoid contact sports and strenuous exercise during the recovery period
- Keep your head elevated at all times
- Use only approved products and therapies on the skin
- Follow up with your surgeon for regular check-ups
We provide clear guidelines pre and post-nose surgery to ensure you have the best possible rhinoplasty recovery.
Our clinic is committed to providing our patients with the best possible care and recovery so you can feel confident about choosing us for your rhinoplasty procedure. With our team of skilled surgeons and experienced medical staff, you can be sure that your health and safety are well cared for. Contact our team today to learn more about rhinoplasty and how we can help you get the desired results.