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Procedures ›› Facial Plastic & Cosmetic Surgery ›› Rhinoplasty

Rhinoplasty - Nose reshaping / Nose Job / Nose Surgery

Surgery to reshape the nose (Rhinoplasty) is one of the more common plastic surgery procedures and is performed to improve the external appearance and/or internal breathing, which may have been a result of birth deformity, trauma, genetic influences, infection, aging, tumours or other diseases.

Nothing has a greater impact on how a person looks than the size and shape of the nose. Because the nose is the most defining characteristic of the face, a slight alteration can greatly improve one's appearance.

Rhinoplasty Techniques & Indications

If you have ever wondered how nose surgery could improve your looks, self-confidence, or health, you need to know how rhinoplasty is performed and what you can realistically expect. The goal is to improve your nose aesthetically and create a harmonious effect with your other facial features.

Understanding the Procedure

Incisions are frequently made on the inside of the nose, although external excisions may be required to make the nostrils smaller, or for added exposure. Nasal operations are usually performed under general anaesthesia. A small cast will be applied to the nose for the first week and most of the swelling will be gone by the time the cast is removed. 80% of the swelling should be improved at 6 weeks, 90% at 3 months and 95% at 6 months. The final cosmetic result is not achieved until 12 months to two years after the operation when the skin has reformed to its new framework.

The definition of rhinoplasty is, literally, shaping the nose. First the nose is carefully assessed and a surgical plan is formulated to achieve the desired outcome. Incisions are made and the bone and cartilage support system of the nose is accessed. The majority of incisions are made inside the nose, where they are invisible. In some cases, an incision is made in the columella (area of skin separating the nostrils) or the ala if reduction of flared nostrils is required. These scars heal very well and are hardly visible after a few months. Next, certain amounts of underlying bone and cartilage are removed, added to, or rearranged to provide a newly shaped structure. For example, when the tip of the nose is too large, the surgeon can sculpt the cartilage in this area to reduce it in size. The angle of the nose in relation to the upper lip can be altered for a more youthful look or to correct a distortion.

The tissues are then redraped over the new frame and the incisions are closed. A splint is applied to the outside of the nose to help retain the new shape while the nose heals. Soft, absorbent material may be used inside the nose to maintain stability along the dividing wall of the air passages (the septum). Alternatively, soft nasal supports that permit nasal breathing post-operatively can be placed. The majority of rhinoplasty procedures last for one to two hours. Some complex cases take longer.

Rhinoplasty in Teenager: Earliest age that rhinoplasty can be perform

Skin type, ethnic background, and age are important factors to be considered in discussions with Dr Pham prior to surgery. Before your nose is altered, you must have reached full growth, which is usually around fifteen to sixteen years for females and sixteen to seventeen years for males. Exceptions are made in cases where breathing is severely impaired.

Nasal Augmentation / Augmentation Rhinoplasty /Nasal Implant

Additional related surgery

Before deciding on rhinoplasty, Dr Pham may advise if any additional surgery is recommended to enhance the appearance of your face. Many patients have Chin Surgery - Chin implant, Genioplasty / Mentoplasty in conjunction with rhinoplasty to create better balanced features. Rhinoplasty can be combined with other types of rejuvenation surgery such as blepharoplasty, brow lift or facelift.