Aesthetic Nose Surgery (Rhinoplasty)

Rhinoplasty, or nose reshaping surgery, is one of the most commonly performed cosmetic surgeries. The procedure can involve reducing or enlarging the nose, reshaping the nasal tip, removing bumps, narrowing the nostrils, or adjusting the angle between the nose and the upper lip. Additionally, deviations in the nasal bone, traumatic deformities, or certain breathing difficulties can be corrected.

If you are interested in aesthetic nose surgery, this page may not answer all your questions. Please consult your doctor if anything is unclear.

Who is an Ideal Candidate for Aesthetic Nose Surgery?

Aesthetic nose surgery can enhance your appearance and boost self-confidence. It is also suitable for those with functional problems. However, it does not guarantee that your appearance will perfectly align with your expectations or that others will treat you differently after surgery. Before deciding, consider why you want the surgery and what you expect from it, and discuss these with your surgeon. Ideal candidates for rhinoplasty are those who seek improvement rather than perfection, hoping for a better appearance and nasal health.

Is There an Age Limit for Surgery?

It’s preferable to wait until adolescence is complete. Generally, this is around 16-17 for girls and a bit later for boys. It’s important that the decision is the individual’s, not the family’s, taking into account the person’s social and emotional maturity.

Are There Risks Involved in Surgery?

When performed by an experienced ENT specialist, complications are rare and generally minor. However, there’s always a risk of complications, such as infection, nosebleeds, or reactions to anesthesia. Post-surgery, small red spots might appear on the skin’s surface from ruptured capillaries. Visible scars are uncommon, but if nostril narrowing is needed, tiny scars at the base of the nose may be present but usually unnoticeable. Approximately one in ten cases may require a second corrective surgery, which is typically minor.

How is the Surgery Planned?

Effective communication with your doctor is essential. During the initial consultation, your surgeon will ask about your desired appearance and examine your nose and facial structure to discuss possibilities. Topics of discussion include your nasal bone and cartilage structure, face shape, skin thickness, age, and expectations. Your surgeon will also explain anesthesia, surgical techniques, risks, costs, and any alternatives.

Be sure to inform your surgeon about any prior nasal surgeries, treatments, allergies, breathing issues, medications, and smoking habits. If necessary, additional examinations, like an endoscopy, might be conducted. Feel free to ask any questions regarding your expectations and outcomes.

Pre-Surgery Preparations

Your surgeon will provide instructions on eating, drinking, smoking, taking certain vitamins, and medications, as well as how to prepare for the procedure. Following these instructions will aid in a smoother surgery experience.

What Type of Anesthesia is Used?

Aesthetic nose surgery is performed under general anesthesia.

What is the Surgical Procedure Like?

Rhinoplasty typically takes 4-6 hours. During the surgery, the nasal skin is separated from the bone and cartilage framework. The reshaping depends on the existing issue and the surgeon’s chosen technique. Finally, the skin is adapted to the new structure. Most ENT specialists prefer the open technique, which involves a small incision on the columella, the strip of tissue separating the nostrils. After surgery, a plaster cast is placed on the nose to maintain its new shape, and silicone splints are inserted to stabilize the septum.

Post-Surgery Care

For the first 24 hours post-surgery, you may experience swelling in the face, nasal pain, or a mild headache, which can be managed with prescribed painkillers. Plan to rest with your head elevated to minimize swelling. Cold compresses can also help alleviate swelling. Most swelling and any bruising should subside within the first week, though minor residual swelling may take 6 months to a year to completely resolve.

A slight nasal discharge is common in the first few days, and you may feel mild congestion for several weeks. You’ll be advised not to blow your nose for 3-4 weeks, and instead to use nasal rinses from a pharmacy. If splints are used, they’ll be removed after 4-5 days, after which you should feel more comfortable. Most dressings and the cast on your nose are removed by the end of the second week.

When Can You Return to Normal Life?

Most patients can get up and walk around within two days and return to school or light work a week after surgery. However, it may take several weeks to fully resume daily activities. Your surgeon will provide detailed guidance on your recovery.

Post-Surgery Precautions

For two to three weeks, avoid strenuous activities (such as running, swimming, gymnastics, sex, or anything that increases blood pressure), and protect your nose from impacts for six months. Be gentle with your face while washing, and be cautious with makeup application.

While wearing contact lenses is permitted, wearing glasses is different. After the cast is removed, avoid placing the weight of glasses on the nose bridge for about 3 months until it fully heals. Your surgeon will arrange follow-up appointments over the next year to monitor your healing.

When Will You See the Final Results?

The full result of a rhinoplasty can take 6 months to 2 years, depending on skin thickness and other factors; thick skin may take longer to adjust.

Post-Surgery Guidelines

The recovery process requires patience and adherence to aftercare instructions. Actively participating in your recovery is just as important as the surgery itself. Some key recommendations include:

1. Due to nasal splints, you may need to breathe through your mouth initially.
2. Keep hydrated to alleviate mouth dryness, and eat soft, easy-to-chew foods.
3. Use only prescribed medications and avoid aspirin or blood-thinning drugs.
4. Keep your head elevated to reduce swelling.
5. Slightly pink or light red nasal discharge is normal, but contact your doctor if you see bright red blood.
6. Do not tamper with the nasal cast or dressings; they are removed by the surgeon.
7. For two weeks, avoid heavy lifting, bending, or vigorous exercise.
8. Protect your nose from direct sunlight until bruising fades.
9. Minor numbness in the nasal tip and upper lip may occur but should resolve in a few weeks.
10. Once splints are removed, you may use makeup to cover any bruising.
11. Schedule and attend all post-surgery follow-up appointments, generally after 1 week, 12-15 days, 1 month, 3 months, and 6 months.
12. Avoid wearing glasses unless absolutely necessary for 3 months.

Following these aftercare steps is vital to ensure a smooth and successful recovery. Consult your doctor if you have any concerns during your recovery journey.