Rhinoplasty (Nose Enhancement)

Rhinoplasty (nose surgery) is an operation to improve the shape and size of the nose so that it is in harmony with the rest of the face. Rhinoplasty is essentially a surgical sculpting of the nose and is accomplished by careful contouring of the bone and cartilage giving the nose its shape. At the same time deformities that cause breathing problems and some sinus disorders can be corrected. Most incisions are placed inside the nose where they are least visible (seamless rhinoplasty).

Nose surgery improves the appearance and proportion of your nose, enhancing facial harmony and self confidence. Commonly, nose surgery is often chosen by people who have asymmetrical or misshapen noses.

With younger patients, the surgery can be performed as long as the skeleton of the face is over 90% developed.

Who is a Candidate?

  • Those who avoid profile photographs, or turn their head with people to disguise their nose profile
  • Those with an ageing nose (drooping of the tip)
  • Those with breathing problems caused by nasal deformities
  • Those seeking a nose more in proportion to their face
  • Patients who are also having chin augmentation or a facelift as it can help balance the features

Intended Result

Rhinoplasty, when performed on the right candidate by an experienced surgeon, can produce a profoundly positive transformation to one’s face. Nose surgery has the potential to make the person more attractive and in most cases look younger.

Here’s how/what it can help:

  • Nose size, in relation to the other facial structures
  • Nose width, at the bridge
  • Nose profile, with visible humps or depressions on the bridge
  • Nasal tip, that is large or bulbous, drooping, or too upturned
  • Nostrils that are large, wide or upturned
  • Nasal asymmetry and deviation

Procedure Description

Nasal surgery generally requires anaesthesia and is performed as an inpatient procedure.

Closed technique:

  • Small incisions are made inside the nose and specialised instruments are used to separate the skin from the underlying supporting framework of bone and cartilage. The bone and cartilage are then sculpted to the desired shape. The nature and extent of the sculpturing are dependent on your nasal anatomy and the desired contour
  • The skin is then re-draped over the new framework and dissolvable sutures are used to close the incisions

Open technique:

  • Small skin incisions are made across the columella (the skin that separates the nose). This provides more exposure, especially in complex cases and is often used in revision Rhinoplasty. This incision heals very well and is usually inconspicuous some weeks after surgery

Recuperation and Healing

  • You will be monitored in recovery for a couple of hours or overnight
  • A splint or cast is applied to maintain the new nose shape and to limit the amount of post-operative swelling
  • The cast will be worn for approximately 7 days
  • You must be very careful not to “bump” your nose as the bones will need a couple of months to completely mend
  • With surgery to straighten the nasal septum, breathing improvements will be appreciated in about 3 weeks
  • Usually, there is no visible scarring unless it is an open Rhinoplasty. If it is an open Rhinoplasty, the scar would be on the columella (the skin that separates the nostrils) sometimes resembling a straight line or a flattened ‘z’
  • If you had a Rhinoplasty where the nostrils were narrowed (in the case of flared nostrils) you will have your sutures removed. This may sting a bit, especially since it is in a sensitive area
  • You can expect swelling, especially in the tip if you are having tip work performed. The swelling usually begins to subside within the first month but the end result may not be seen until at least 9 months post-operatively

Approximate Costs

Price variations can alter widely between patients and what surgery is actually required, so only a broad guide can be offered. Please contact our office for more specific details at this link

$9,000 – $20,000

Note

The specific risks and suitability of this procedure for a given individual can only be fully determined at the time of consultation with your cosmetic surgeon. All surgical procedures have some degree of risk. Minor complications which do not affect the overall cosmetic results occur occasionally. Major complications are rare. While we only deal with the best plastic surgeons, for ears and nose ENT surgeons can be the best surgeons because this is their area of expertise. If appropriate, and/or in certain cases, we would have no hesitation in recommending the services of a highly skilled ENT surgeon – getting you the best result is what’s important.