Rhinoplasty Nose Surgery (Nose Job)

Treatment information

A rhinoplasty has the purpose of changing the shape of the nose. Usually, this kind of surgery is done due to a wish for a better appearance, but the operation may also be able to help relieve breathing problems.

Generally about the treatment

A rhinoplasty, popularly referred to as a nose job, has the purpose of correcting the nose, and it is one of the most common cosmetic operations.

A rhinoplasty can reduce or enlarge the size of the nose, change the shape of the nose tip and of the back of the nose, narrow the opening of the nostrils, and change the angle between the patient's nose and upper lip.

The nose job operation can also correct a birth defect, correct an injury, or help alleviate breathing problems.

Good communication between the patient and the surgeon is essential. At the preliminary consultation, the surgeon will ask how the patient would like their nose to look, and also evaluate the structure of the nose and face in order to achieve the best possible result.

Suitability

Fit and healthy women and men over the age of 18, who are not satisfied with the appearance of their nose, or who have breathing problems, that can be alleviated with a surgical procedure on the nose.

The rhinoplasty surgery can be done on its own, but many combine it with a different kind of surgery, such as a facelift, a brow lift, or eyelid surgery.

The procedure

Anatomy of the nose
The anatomy of the nose from the front and from the side
During the rhinoplasty, the surgeon will separate the skin on the nose from the bearing skeleton of bone and cartilage, after which he or she reshapes it to fit the patient's request.

The method for this depends on the patient's problem, and the surgeon's preferred technique. Lastly, the nose is re-covered with the skin, so it can be adjusted to the new shape and size of the nose. The cut is often placed inside the nostrils, where they will not be noticed.

In complicated cases particularly, the surgeon will sometimes prefer an "open" approach, meaning that the incision will be placed across the vertical strip of tissue that separates the patient's nostrils.

A bulge on the nose will be removed using a chisel or a rasp. In order to shape the tip of the nose, the cartilage and nasal septum are trimmed in order to improve on the angle between the nose and the upper lip.

A constructive nose job (if the nose is to be made bigger) will require either an artificial material, the patient's own cartilage, or the patient's own bone. This can be obtained from several places, and which place to take it from will be settled with the patient prior to the surgery. Cartilage is oftenmost taken from the ear.

The procedure takes 1-2 hours or more, depending on the type and extent.

Anaesthesia

A rhinoplasty can either be carried out ambulant or during brief admission, and either in local or general anaesthesia, depending on the type and extent of the surgery.

Side-effects

Temporary swelling and contusions (bruising) around the eyes and nose. Soreness. Headaches and pain in the nose. Bleeding from the nose during the first couple of days. The nose may feel clogged during the first couple of weeks. The doctor may recommend, that the patient avoids blowing their nose for the first week or longer.

Risk of complications

Small vessel bursts, which can result in permanent tiny red spots on the nose.

An American study shows, that in 10% of the cases, the cosmetic improvement has not been sufficient after a nose job, requiring for an extra (minor) treatment in order to achieve the best result. The cases are often unpredictable and can happen even to the best of surgeons.

There is a risk of side effects from the anaesthetic used, along with bleeding, poor wound healing, a poor cosmetic result, and blood accumulation.

No form of surgery is risk free, although severe complications are very rare.

Healing and recovery

Work may be resumed after 1-2 weeks time. Strenuous activities and sports can normally be taken up again after 2-3 weeks. The nose should not be exposed to strong sunlight for up to 8 weeks. The final result will not be completely clear until one year or longer has passed.

Duration of the result

The result of rhinoplasty nose surgery is permanent, except for the natural changes that come with aging.