Some of the reasons for undergoing Rhinoplasty:
- Self-conscious about the size and shape of the nose, especially as it is the most central feature on the face.
- Inherited characteristics that may be disproportionate to the overall shape of the face, such as a girl who has inherited her “father’s nose”.
- Accidents that have changed the shape, leaving unsightly bumps or flattened areas.
Benefits of Rhinoplasty
- Increased self-confidence from new appearance – happy to have photos taken of yourself
- Option of changing hairstyle – often kept long prior to surgery to “disguise” unwelcome features
- Feeling more feminine – especially if a female has inherited her father’s nose
The size, shape and length of the nose can all be altered through a reduction rhinoplasty operation. The scars are usually all internal and therefore not visible. If the nostrils are to be reduced, there will be minimal scarring which is well hidden in the nostril crease.
The bone structure of the nose can be related to that of a frame tent – if we wish to reduce the heights of the “ridge”, then the sides must also be reduced and brought together to create a new ridge – this will not affect the skin surface, which will shrink back on the new frame very well.
The lower part of the nose is made up of cartilage and if your nose tip needs to be reduced, a part of the cartilage will be removed. This is often carried out at the same time as any corrective bone work and is usually without visible scarring. If your nose is deviated (bent) you may be offered a Septorhinoplasty to straighten the nose. An Augmented Rhinoplasty is performed to build up the nose in the case of a flattened bridge. Dr Kelly will examine your nose and advise you on the most appropriate operation.
The operation will be carried out under General Anaesthetic and take approximately 2 hours. You will need to stay in hospital for 1 night and wear a splint over your nose for 7-10 days. It is advisable to refrain from working for this 10 day period and avoid impact sports for 3-6 months.
There will be numbness, bruising and swelling after the surgery. Numbness and swelling will gradually resolve but may take several months. Bruising will be mostly gone by the time you return to work at 10-14 days.
Before your surgery
It is very important that you are sure of the changes you are trying to make and that you explain these as fully as possible to Dr Kelly – you will need to have realistic expectations. For example, a very bent nose may not be perfectly straight after surgery, and it may be necessary to undergo further surgery to improve the result – a decision that must eventually be made between Dr Kelly and yourself.
The day of your surgery
Dr Kelly will visit you in your room and possibly draw marks on your nose in preparation for your surgery. Dr Kelly will also obtain your final consent and answer any last minute questions you may have.
When you wake from your anaesthetic you will have a splint over the bridge of your nose, packs inside the nostrils and ice packs over your eyes to minimise bruising and swelling.
If packs are inserted in your nose, this will mean that you will have to mouth-breathe until they are removed the following morning. It is an uncomfortable time and we encourage you to drink plenty of fluids to help avoid a sore throat. Painkillers will be offered to you; however, the congested nasal feeling is more the reason for discomfort. The packs will be removed prior to you going home and this will help to make your breathing a little easier.
You will need to rest in a semi-upright position for the first few days and avoid bending down. There may be slight bleeding from your nostrils and this can be dabbed away with a handkerchief. We do not expect a heavy nosebleed – however, any concerns should be reported to your clinic. Ice packs will help relieve bruising to the eyes. After 7-10 days, the splint will be removed at the clinic and you may return to work thereafter. Most of the bruising should have settled by then. Patients who wear glasses may find these uncomfortable until the splint is removed. Contact lenses could well be impossible to insert or remove.