Rhinoplasty, also known as a nose job, is one of our most commonly performed procedures here at Centre for Surgery in London. Many people choose to have the procedure for a significant transformation in the appearance of the nose and the face as a whole. A nose job is designed to surgically reshape the nose to make it appear in better balance with the rest of your facial features. The size or shape of the nose can be increased or decreased as part of nose job surgery. The procedure can also help to straighten crooked noses or to remove a bump on the bridge of the nose. In the UK, over 10000 nose job procedures were carried out as reported by the British Association of Aesthetic Plastic Surgeons and the number of people who choose the procedure is increasing year on year.
Here we discuss the different types of rhinoplasty surgery, and many patients ask us, “can a nose job affect your smile?”. A nose job is commonly combined with other facial procedures for enhanced results, such as eyelid surgery, brow lift or a mini facelift.
Types of rhinoplasty
A nose job can effectively improve the aesthetic appearance of the nose as well as correct many structural concerns that may affect breathing. There are different techniques for rhinoplasty surgery, with some methods being more invasive than others. Extensive surgical correction may require a more invasive approach to accurately visualise the bone and cartilage framework of the nose. A non surgical rhinoplasty can produce subtle improvements in nasal appearance without requiring invasive surgery. At your consultation, your surgeon will perform a thorough clinical assessment to determine the best type of rhinoplasty for you to achieve optimal results.
An open rhinoplasty involves making an incision between the nostrils on the columella to permit full visualisation of the bony and cartilaginous framework of the nose. This is the most invasive type of rhinoplasty procedure, as the nasal skin has to be gently dissected away from the underlying bone and cartilage of the nose. The procedure is ideal for extensive nasal corrections, which involve surgery on the nasal bridge and tip. Open rhinoplasty is the preferred approach for all types of revision rhinoplasty. And open a Rhinoplasty is ideal for:
- Straightening a crooked nose
- Straightening a deviated nasal septum
- Removing or reducing a dorsal hump located on the bridge of the nose
- Nasal tip reshaping also known as a tip rhinoplasty
Closed rhinoplasty surgery is less surgically invasive compared with an open rhinoplasty, as all incisions are made within the nostrils. As a result, less rhinoplasty swelling is experienced after closed rhinoplasty. A closed rhinoplasty is often used by highly experienced surgeons to address targeted problem areas of the nose without the incision of open rhinoplasty. The procedure has certain limitations, as certain nasal defects cannot be corrected with the closed approach. People who have had a rhinoplasty previously are not considered suitable candidates for closed rhinoplasty. Nasal tip reshaping, also known as tip plasty is better undertaken with the open approach.
An ultrasonic rhinoplasty, also known as a ‘piezo rhinoplasty’ involves using specialised ultrasonic Technology to precisely sculpt the nose without having to fracture the nasal bones. The procedure is ideal for less extensive nasal corrections, and the gentle nature of the technique means patients experience much less bruising and swelling in the postoperative period. It is important to select a surgeon who is experienced with the ultrasonic rhinoplasty technique. An ultrasonic rhinoplasty can only be carried out using an open approach.
Non surgical rhinoplasty
Patients who do not require significant structural alterations to the size or shape of the nose may be suitable for a nonsurgical rhinoplasty, also known as a liquid rhinoplasty. The procedure involves using hyaluronic acid-based dermal fillers to produce subtle enhancements to the shape of the news. The most common dermal fillers used for a nonsurgical rhinoplasty include Juvederm and Restylane. Patients can observe an immediate improvement in the appearance of the nose once the nose filler has been injected. A more sculpted nose profile can be achieved with filler placed into the nasal bridge to enhance its definition. 1ml of dermal filler is often sufficient to smooth over localised depressions or indentations in the bridge of the nose. Non-surgical rhinoplasty is not a permanent procedure and requires maintenance treatments every 6 to 12 months.
Will a nose job affect my smile?
Here at Centre for Surgery, we commonly get asked if a nose job will affect a person’s smile. This is a perfectly valid concern, as surgery involves the nose, which is close to the upper lip. Many patients wonder whether they will develop a stiff upper lip after surgery that may impair the ability to smile naturally. When a nose job is carried out by an experienced rhinoplasty surgeon, this should not be a problem. Our surgeons have years of experience in carrying out nose jobs without affecting the delicate tissues of the upper lip.
In some cases, a rhinoplasty procedure that is focused on improving the shape of the base of the nose may result in temporary swelling that could result in the upper lip drooping for up to 2 weeks after surgery. Fortunately, post-operative swelling is temporary, and although the lip may not elevate to its usual position, it will return to normal very soon. Tip rhinoplasty often involves improving the size and shape of the nasal tip. If the tip is rotated upwards as part of the surgery, it may result in the upper lip appearing longer but this is a temporary phenomenon and is related to post-operative swelling. Once the swelling disappears, your smile will return to normal. If you have been bothered about the appearance or function of your nose, look no further than the Centre for Surgery for natural-looking nose job results.
Schedule a nose job consultation at Centre for Surgery
If you are interested in a nose job in London, our surgeons are skilled in helping you achieve the results and look you have always wanted. At your consultation, your suitability for rhinoplasty surgery will be determined, and the details of the nose job procedure will be discussed in depth. Centre for Surgery is the leading centre for rhinoplasty surgery in the UK and is home to some of the best consultant plastic surgeons in London. Call us today on 0207 993 4849 or complete the contact form below to book an in-person consultation with a specialist rhinoplasty surgeon at our state-of-the-art Baker Street clinic in London.