Nose job surgery (rhinoplasty)
The aim of a rhinoplasty (or nose reshaping surgery) is to improve the function and appearance of the nose.
Depending on what is the main problem that you experience with your nose rhinoplasty surgery may concentrate on one aspect more than the other.
If your main concern is with the appearance of you nose then rhinoplasty surgery will be directed at the aesthetics of it, however the function of the nose (breathing freely!) will also be protected by the way the rhinoplasty procedure is performed and often patients state that their breathing is improved following the operation.
If you have a mainly functional problem with your nose (most commonly due to trauma) then rhinoplasty surgery will be directed towards improving airflow by straightening and strengthening the internal framework of the nose.
If trauma has been the cause of the poor airflow and there is an associated visual deformity (such as the nose being crooked or having a visible hump) then this can be corrected too at the same time.
Surgery can be carried out in Bristol, London or Newport.
Frequently asked questions
What does a nose job involve?
A nose job, or rhinoplasty surgery is always performed under general anaesthesia. There are 2 types of rhinoplasty – open (where there is a small scar on the columella of the nose in addition to ones on the inside, and this technique is used to allow direct vision of the whole of the internal framework of the nose) and closed (where the scars are placed only on the inside of the nose and the amount of modification that can be done to the shape of the nose, particularly the tip, is more limited). Both types of approach usually require the bone and cartilage on the top of the nose to be modified and both usually require the nasal bones to be fractured to allow the desired new shape of the nose to be achieved. The individual operative plan is tailor made depending on each patients specific problems and requirements and this is discussed in detail in at least 2 pre operative consults. You will stay in hospital over night and go home the following morning.
How will a nose job surgery my breathing?
The aim of rhinoplasty surgery is always to improve breathing. In it’s most simple form it may involve removing some of the cartilage from the nose (which makes the airway from each nostril bigger on the inside), through to making sophisticated modifications to the nasal skeleton.
How quickly will I recover from a nose job?
You will wake up after your procedure with packs in either nostril and with a splint over the bridge of your nose. This will be held in place by Elastoplast tape (or an alternative if you are allergic to this). The following morning after having been reviewed by Mr. MacQuillan you will be discharged home with pain killers and any necessary additional medication.
It is not uncommon for patients to get swelling around the eyes following rhinoplasty surgery and this usually increases in severity for 48 hours following the operation (this can be minimised by sleeping in an upright position for the first week post-op). Additionally it is quite common to get bruising around both eyes, this can last for up to 2 weeks, though normally resolves sooner. You will notice some crusting around both nostrils for the first week to 2 weeks from the incision lines inside the nose, this is due to dried blood and is best treated by cleaning several times a day with clean ear buds and cooled boiled water. You will be given some ointment to dress the incisions with.
Your splint will normally be removed 1 week following a rhinoplasty procedure and you will need to apply taping to your nose at night for a further 3 weeks to help minimise swelling. For the first 2 weeks following the operation you need to avoid blowing your nose, bending over to pick up objects (for example from the floor), refrain from lifting heavy objects and avoid strenuous exercise. From 2 weeks you can gradually increase daily activities but should avoid anything that is likely to result in a direct blow to your nose (rugby, football, horse riding, etc) for at least six weeks (and preferably avoid direct trauma to the nose on a permanent basis!).
What can go wrong in a nose job operation?
The commonest problem encountered after a rhinoplasty procedure is a nose bleed. The nose has a very rich blood supply and it is not uncommon for a scab to become dislodged during the healing process which can cause a nose bleed. This can be very alarming for the person affected by rarely results in a serious problem. If you do suffer with a nose bleed get in contact with the team and you will be reviewed straight away.
Another common problem that happens post-op is the splint falling off. The chances of this are minimised are by the Elastoplast taping but if this does happen please try to save the splint and contact the team directly. The splint will help protect your nose and importantly helps to minimise the swelling in the nose. Infections following rhinoplasty surgery are rare due to the rich blood supply of the nose – but should you be worried that you are developing one, please contact the team immediately and you will be reviewed straight away. During your consultation you will have a detailed discussion of all potential complications and be given the opportunity to ask as many questions as you need.
Is it possible to straighten a crooked nose after it has been broken?
Yes, it is possible to straighten even badly deformed noses following trauma. Depending on how severe the damage, different strategies can be employed to ensure the internal framework is straightened and strengthened so that the airflow is corrected in both nostrils and the shape of the nose is restored.