Nose Reshaping (Rhinoplasty)

The shape of the nose may be altered surgically by shaping the nasal bones and cartilage. This procedure is known as Rhinoplasty.

Facial Harmony

The appearance of the nose depends on:

  • Nasal anatomy
  • Lip /Chin anatomy and projection
  • Anterior Facial Height

  • The Chin

    A patient with an underdeveloped chin may have the perceived deformity corrected by surgery to the chin alone; such patients may have an adverse cosmetic result if rhinoplasty is performed alone. Engineering Assisted Surgery™ with computer planning and simulation of surgery is invaluable in demonstrating this feature to patients; if the patient opts for no chin surgery, a different rhinoplasty may be required with less than optimal results.

    Improvement of the cosmetic appearance of the nose is more difficult to achieve in cases where anatomy is normal and a slight improvement is requested.

    Some patients become focussed on a perceived deformity especially in relation to the nose, which is not noticed by friends and colleagues to the same degree. This may be associated with clinical depression. Such patients are rarely helped by surgery and may require psychological assessment and support. It is to be noted that around 10% of patients undergoing rhinoplasty are unhappy with the result of surgery, and it is important that patients are assessed in detail with appropriate psychological counselling and computer simulation of the likely effects of surgery.

    Disappointing outcomes may be related to:-

  • incorrect planning / no chin surgery / poor facial harmony
  • poor surgical result
  • surgical complications
  • unrealistic expectations

  • In our programme at NCAFOS it is our aim to provide a comprehensive care package to avoid the common pitfalls of surgical practice in this area. However an absolute guarantee of patient satisfaction cannot be made with rhinoplasty by any surgeon.

    Procedure of Rhinoplasty

  • Day case / overnight stay - local anaesthesia + sedation / general anaesthesia
  • Computer Planning and Simulation of Surgery advised
  • Planned excision of tissue is marked on the skin
  • Incisions hidden inside nostril (internal rhinoplasty)
  • Skin incision for nasal tip reshaping (external rhinoplasty)
  • Nasal Packs placed for 24 hours
  • Skin sutures are removed at around 7 days

  • Complications

  • Bleeding at time of surgery
  • Bleeding following surgery – black eyes are not uncommon
  • Severe bleeding following surgery may require suture removal
  • Infection
  • Scarring
  • Nasal bridge swelling / deformity / irregularities
  • Nasal Tip Swelling (may last up to 1 year)
  • Skin Numbness (may be permanent)
  • Asymmetry
  • Obstructed nasal airway
  • Loss of skin as a function of haemorrhage or infection
  • Revision surgery may be required or may not be possible
  • 10-30% of patients unhappy with outcome
  • Clinical depression / anxiety