In order to improve the aesthetic or functional, a procedure called Rhinoplasty can be performed. Rhinoplasty may significantly improve the appearance of the nose and the balance of facial features. It involves reshaping the cartilage framework of the nose in order to change its external appearance or to correct breathing difficulties, which may be due to inherited (genetic) factors or due to a previous injury to the nose.
Things to consider before surgery:
Rhinoplasty surgery may be complex and potentially risky, though significant complications are rare. Patients who have bleeding problems or take medications which affect blood clotting should make their surgeon aware of this before surgery. Patients who have high blood pressure or a significant cardiac history should also be medically optimised before surgery. It is the surgeons role to weigh the risks of surgery, against the benefits. Patients who are seeking subtle changes in their features without significant functional problems should also consider carefully whether rhinoplasty is appropriate for them.
Rhinoplasty cannot produce a nose that is not in keeping with a patients own anatomical features. The aim of surgery is to rearrange or re-shape the patient’s own features to produce a nose that is aesthetically pleasing whilst in harmony with the patient’s face and functionally intact. It may not be possible to produce a nose that resembles a photograph of another person’s nose and attempts to do so may be counterproductive.
Surgery may be used to increase or decrease the bridge of the nose, to reduce the size or width of the nose, narrow the nostrils, change the angle between the nose and the upper lip, or reshape the tip. Mr Hanikeri performs the procedure through a very short incision across the vertical tissue between the nostrils, (columella). Through the incision, modifications are made to the cartilage and bone that form the framework of the nose. Sometimes, the position of the bones may need to be altered in order to make the nose look narrower and straighter. If the nose needs to be built up in certain areas, this can be done using nasal cartilage, or perhaps bone or cartilage from another site.
The procedure takes between 1.5 – 3 hours and is performed under general anaesthetic.
After surgery-what to expect:
Minor changes to the nose can be performed as a day-surgery procedure but most patients usually spend one night in hospital following a rhinoplasty. A splint may be applied to the outside of the nose and there may be packs in each nostril. Incisions are usually inconspicuous. Patients may be able to return to work within a week or two of surgery. Most normal activities including gentle exercise can usually be resumed within 2 – 3 weeks although more strenuous exercise should be avoided for 4 to 6 weeks.
There is usually minimal pain after rhinoplasty, though patients may experience some bruising about the eyes and cheeks for the first few days after surgery.
The effects of rhinoplasty may be evident immediately after surgery however, since the healing process is gradual, the patient should expect to wait up to one year to see the final results.
Furthermore, the nose will continue to change as part of the normal ageing process. This may alter the outcome of rhinoplasty in some cases. Occasionally, additional surgery may be necessary.
Risks of rhinoplasty: