What is Rhinoplasty (Nose Job)?
Rhinoplasty, also known as a “nose job,” is a surgical procedure used to change the shape of the nose. The procedure can correct a wide range of issues, including a bulbous tip, a crooked nose, a hump on the bridge, and nostril asymmetry. It can also be used to improve breathing, reduce the size of the nose, reshape the nose, and improve the overall appearance of the nose.
Although a nose job is most commonly carried out for cosmetic reasons, it can also be used to address functional symptoms, including difficulty breathing through the nose caused by a deviated septum and eliminating loud snoring and sleep apnoea. This is why it is important for a rhinoplasty surgeon to have expertise in nasal reconstruction, as they may be required to operate on the nasal septum and the turbinate bones, which may be responsible for nasal blockage. Septoplasty is the procedure used to correct a deviated septum which is commonly responsible for airway obstruction.
View our Rhinoplasty patient education video
There are many reasons why patients choose to have a rhinoplasty. Many patients may have sustained previous traumatic injuries to the nose due to playing contact sports and sustaining a nasal fracture. In these cases, there may be private medical insurance coverage available, but you should check at the consultation if this is possible. Regardless of the reasons for having the procedure, our treatment philosophy is to aim for natural-looking results in harmony with the rest of your facial features with a beautifully contoured and sculpted nose with permanent results. Nose reshaping surgery requires years of skill and dedication to produce consistently good outcomes, as even the difference of a couple of millimetres can make the difference between achieving natural-looking results and surgical results that may suggest an ‘overly done’ look. A rhinoplasty is also known as a ‘nose job’ and is one of the most commonly performed cosmetic procedures in the UK, with up to 1 and 10 of all cosmetic surgery procedures involving a rhinoplasty procedure.
The nose is a central component of the face, which often leads people to seek treatment if they are unhappy with its size and shape. Our facial features form a large part of how we feel about our overall appearance, and rhinoplasty surgery is an effective option for patients who are unhappy with the size or shape of their nose.
Rhinoplasty at Centre for Surgery
Here at Centre for Surgery in London, we are home to some of the U.K.’s foremost rhinoplasty experts with years of experience in carrying out all types of rhinoplasty, including open and closed rhinoplasty, tip Rhinoplasty, alar base reduction, ultrasonic rhinoplasty and revision rhinoplasty.
We have our own purpose-built day surgery facilities at 95-97 Baker Street and do not use ‘third party’ providers and are therefore able to provide the highest standards of care.
For those who are not quite ready to undertake a surgical procedure or would like to gain an idea of how they could look with a future rhinoplasty procedure, we also offer a non-surgical nose job, otherwise known as ‘rhinofiller’.
RELATED: What is non-surgical rhinoplasty?
On-table rhinoplasty before and after:
|Procedure time ⏳||2 -3 hours|
|Anaesthetic type 💉||General anaesthetic|
|Length of stay 🛏||Day case|
|Up and mobile 🚶🏻♂️||1 day|
|Washing 🛁||1 week|
|Travel ✈️||3 weeks|
|Sexual activity ❤️||3 weeks|
|Driving 🚗||1 week|
|Postoperative garment 👕||Nasal splint for 7-10 days|
|Sleeping 😴||On 2 pillows for 1 month|
|Exercise 🏃🏽♀️||4-6 weeks|
|Full recovery 🕺🏻||6 weeks|
|Final results 😃||6-12 months|
Before and After Rhinoplasty
Browse our rhinoplasty photo gallery to see the results achieved by our surgeons at Centre for Surgery. The before and afters below sample the patient photos we have on file. When you come to see us for a consultation, a wide variety will be available. At Centre for Surgery, we only show photos of our patients who have given written consent to use their images on our website.
Open ultrasonic rhinoplasty and tip correction
Open rhinoplasty + tip reshaping
Open rhinoplasty + reduction of excessive columellar show
Common reasons to get a nose job
There are several reasons why people choose to have a nose job, also known as rhinoplasty. Some of the most common reasons include the following:
- To correct a congenital defect or injury: Some people are born with a nose that is misshapen or has structural problems, while others may have sustained an injury to their nose at some point in their life. Rhinoplasty can be used to correct these issues and improve the appearance and function of the nose.
- To improve breathing: Some people may have difficulty breathing through their nose due to structural issues or a deviated septum. Rhinoplasty can be used to correct these problems and improve nasal airflow.
- To improve appearance: Many people choose to have a nose job for cosmetic reasons. They may be unhappy with the shape or size of their nose, or may feel that their nose is out of proportion with their other facial features. Rhinoplasty can be used to reshape the nose, reduce the size of the nose, or improve the symmetry of the nose.
- To remove a nasal bump: Some people may have a bump on the nose or a hump on the bridge of the nose, and they may choose to have a rhinoplasty to remove it and improve the overall appearance of the nose.
- To reduce the size of nostrils: Some people may have large nostrils, and they may choose to have a rhinoplasty to reduce the size of the nostrils to improve the appearance of the nose.
- To correct a deviated septum: A deviated septum can cause difficulty breathing and may be corrected during a rhinoplasty.
It is important to note that people should have realistic expectations and a good understanding of the procedure before choosing to have a rhinoplasty. A qualified plastic surgeon will be able to evaluate the patient’s case and discuss the outcome of the procedure and the expected results with them.
What is the success rate of a nose job?
The success rate of a nose job varies depending on the specific procedure and the surgeon’s skill. In general, however, the success rate for rhinoplasty is high, with most patients reporting satisfaction with their results when performed by a specialist rhinoplasty surgeon. Complications such as infection, bleeding, and dissatisfaction with the nose’s appearance are relatively rare. It’s always recommended to choose an experienced and certified plastic surgeon who has a lot of experience in rhinoplasty.
What conditions can rhinoplasty target?
Rhinoplasty, also known as a “nose job,” is a surgical procedure used to change the shape of the nose. It can be used to correct a wide range of issues, including:
- A bulbous tip: A bulbous tip refers to a nose that appears round or rounded at the end. Rhinoplasty can be used to reshape the tip of the nose to make it appear more refined and defined.
- A crooked nose: A crooked nose can be caused by a congenital defect or an injury. Rhinoplasty can be used to straighten the nose and improve its overall symmetry.
- A hump on the bridge: A hump on the bridge of the nose can be caused by a congenital defect or an injury. Rhinoplasty can be used to remove the hump and create a more natural and smooth bridge.
- Nostril asymmetry: Some people may have nostrils that are different sizes or shapes. Rhinoplasty can be used to correct this asymmetry and improve the overall appearance of the nose.
- A deviated septum: A deviated septum refers to a condition in which the cartilage and bone in the nose are not aligned correctly. A deviated septum can cause difficulty breathing and may be corrected during a rhinoplasty.
- To reduce the size of the nose: Some people may want to reduce the overall size of their nose to better balance their facial features.
- To reshape the nose: Some people may want to reshape their nose to improve its appearance, or to make it more in proportion with the rest of their face.
- To improve breathing: Some people may have difficulty breathing through their nose due to structural issues or a deviated septum. Rhinoplasty can be used to correct these problems and improve nasal airflow.
It is important to note that not all rhinoplasty procedures are the same and that the specific goals of each procedure will vary depending on the patient’s individual needs and concerns. A qualified plastic surgeon will be able to evaluate the patient’s case and recommend the appropriate procedure to achieve the desired outcome.
Am I suitable?
Rhinoplasty, also known as a “nose job,” is a surgical procedure that is used to change the shape of the nose. In order to determine whether or not someone is a good candidate for rhinoplasty, a qualified plastic surgeon will typically consider a number of different factors.
First and foremost, the surgeon will evaluate the patient’s overall health and ensure that they are in good physical condition. This is important because any underlying health issues could increase the risk of complications during or after the surgery.
The surgeon will also consider the specific changes the patient hopes to achieve with the surgery. Rhinoplasty can be used to address a wide range of issues, including a bulbous tip, a crooked nose, a hump on the bridge, and nostril asymmetry. The surgeon will want to ensure that the patient has realistic expectations for the outcome of the surgery and that the changes they hope to achieve are possible.
The surgeon will also evaluate the patient’s skin type, nasal structure and overall facial balance, as well as the patient’s age, as it may affect healing time and the outcome of the surgery.
In addition to these factors, the surgeon will also discuss the risks and benefits of the surgery with the patient, and explain the recovery process and the potential risks of complications.
Ultimately, whether or not someone is a good candidate for rhinoplasty depends on many factors, including the patient’s overall health, the specific changes they hope to achieve, and their expectations for the outcome of the surgery. A qualified plastic surgeon can evaluate your case and determine whether or not a rhinoplasty is a good option for you.
Why choose a specialist rhinoplasty surgeon?
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The rhinoplasty surgeon will always take time to review all your options to give you an idea of how you may look after surgery. Our high standard of ethics is reflected in our recommendation to all patients to seek the opinions of several surgeons so they can feel totally comfortable with their ultimate decision to undergo rhinoplasty as well as the right choice of surgeon. All our rhinoplasty surgeons are on the GMC specialist register. The Royal College of Surgeons of England has an excellent information resource on cosmetic surgery.
RELATED: How to choose your plastic surgeon
All our surgeons attend international rhinoplasty conferences, including the top annual rhinoplasty symposium in Bergamo, Italy, to keep knowledge and skills up to date.
What happens at the Rhinoplasty consultation?
The rhinoplasty surgeon will take time to listen to and understand your goals for rhinoplasty. The surgeon will work with you to determine the right nasal appearance to enhance the face overall. 3D imaging may be used to optimise this process. Any previous surgical procedures, past medical history and your general health will be assessed along with allergies and current medications taken if any.
Questions which your rhinoplasty surgeon may ask you:
- Are you generally healthy without any chronic medical conditions?
- Do you have any medical conditions such as diabetes or hypertension?
- Have you had previous surgical operations, and were there any complications?
- What medications are you taking currently? Do you have any allergies?
- Do you smoke or drink alcohol, and if so, how much?
- What would you like to achieve from the rhinoplasty procedure?
The surgeon will use their extensive experience to suggest the type of procedure or combination of procedures to achieve the desired result. Any risks and complications will also be explained in detail. A selection of rhinoplasty before and after images can also be requested to be seen if you wish to give you a rough idea of what can be achieved with rhinoplasty surgery. These photos should be seen as a guide, and no guarantee can be given about achieving a particular surgical result.
Here is a guide to questions you could ask the rhinoplasty surgeon:
- How do I know if rhinoplasty is right for me?
- Which is better, the open or closed technique?
- I am not suitable for a surgical procedure; shall I have a non-surgical rhinoplasty?
- Will I have a lot of pain after the procedure?
- What level of scarring can I expect after the procedure?
- What is the recovery period like, and what should I be doing during the healing period to get optimal results?
- Am I being realistic about what I am asking to be achieved?
- With my type of concern, how many procedures have you done in the past?
- Do you have some similar before and after rhinoplasty images I can view?
- What should I do if the results do not meet my expectations?
In approximately a quarter of all consultations, your surgeon may not recommend a rhinoplasty procedure. This is a testament to the ethics and professionalism which all surgeons possess at Centre for Surgery. We are a medical practice first and foremost and all clinical decision-making is fully detached from commercial imperatives.
The goal at consultation is for all patients to make the most informed and intelligent decision about a potential rhinoplasty procedure. The surgeon is there to guide that process and the consultation should be seen as a meeting between 2 experts – you and the surgeon together.
Types of rhinoplasty
The nose consists of both a bony and cartilaginous skeleton. The lower two-thirds are composed of cartilage, and the upper one-third is bony. The cartilage in the lower two-thirds is the same as that found in the ear cartilage. The nose is divided into two halves by a midline cartilage partition called the septum. The septum functions to as a structural support for the cartilage part of the nose to prevent nasal collapse. Most types of rhinoplasty, when performed on Caucasian noses, are for reducing the size of the nose through the reduction of both the bony and cartilaginous portions of the nose.
RELATED: How to make your nose smaller
Open rhinoplasty techniques involve making a very small incision is made at the columella at the base of the nose between your nostrils. Extra incisions are made inside the nose that are very difficult to see. An open rhinoplasty results in full visualisation of the bony and cartilaginous framework. This permits a more precise correction of the nasal deformity. Open rhinoplasty is ideal for the correction of the full range of nose deformities, and certain types of rhinoplasty are only performed with an open technique, such as revision rhinoplasty.
Closed Rhinoplasty (endonasal rhinoplasty)
Closed rhinoplasty, also known as endonasal rhinoplasty, involves making incisions inside the nostrils. These incisions are not visible after the procedure. The disadvantage of a closed rhinoplasty includes limited visualisation and increased difficulty in surgically manipulating the nasal structures. Although not as commonly performed as an open procedure, this procedure does have a reduced recovery time and leaves no visible scars. Closed techniques are most commonly the domain of the expert rhinoplasty surgeon, and all our rhinoplasty surgeons are equally proficient in closed techniques.
Septorhinoplasty is able to address breathing problems affecting the nose. Septorhinoplasty is commonly performed for patients that have septal deviation. The septum is the midline partition made of both cartilage and bone that divides the nose into two halves. An incision is made in the tissue lining the inside of the nose, known as the mucosa is then gently lifted off the septum. The septum is then straightened using a variety of surgical techniques, including spreader grafts. The straighter septum markedly improves breathing through the nose. In addition to addressing functional problems, the aesthetics of the nose can be enhanced as septorhinoplasty is a two-in-one procedure.
Tip rhinoplasty or tip plasty is designed to address the cartilage part of the nose without any bone work being performed. Rhino-tip surgery can be performed via both an open and closed technique, though it is most commonly performed with the closed rhinoplasty method to reduce visible scarring. Tip reshaping is ideal for those who do not require dorsal hump removal. Typical examples of patients who need rhino-tip correction include patients with a large boxy tip. Big tips are often rounded, which is often because of thick skin. Bent or crooked tips often lead to the appearance of one nostril looking bigger than the other, which gives rise to nasal asymmetry. Large nostrils can give the impression of a flattened nose when viewed front-on. Wide nostrils can be addressed with an alar base reduction. Finally, tip rotation can be an issue, especially when viewed side-on, including over-projecting tips, which give the appearance of a hooked nose and under-rotated tips, which are less common.
Ethnic rhinoplasty is ideal for patients from certain ethnic backgrounds who tend to have broader and flatter noses with enlarged nostrils. Our surgeons employ specialised augmentation rhinoplasty techniques to improve structural support. It is often not appropriate to perform conventional reduction rhinoplasty methods in the ethnic nose. Cartilage can be harvested from a number of sites, including the ear or rib. The harvested cartilage is carefully reshaped to fit the recipient site. Alar base reduction is an ideal procedure to reduce the width of the nostrils. In some Far Eastern patients, the inner part of the eyelids is webbed as it blends with the nose. Often this will also be corrected at the time of the ethnic rhinoplasty.
Preservation rhinoplasty techniques means surgeons no longer need to break the nose during surgery. The dorsal height can be corrected via an internal access approach to sequentially reduce the height. This incremental approach means the nose will become smaller as the height is reduced internally, and the hump will be removed. The preservation technique takes longer to perform, but the benefits are often well worth the increased procedure time.
The rhinoplasty procedure has evolved over time, away from destructive cartilage techniques to preservation of your cartilage and utilising minimally invasive surgical approaches to minimise downtime.
Preservation rhinoplasty can be performed through both an open and closed approach. The key feature in either technique is surgical dissection in the correct plane, which can be tricky if the surgeon lacks experience. Restoration of the soft tissue architecture through the repair of ligaments which were released to access the nose helps to reduce postoperative swelling with a quicker recovery.
Approximately 1 in 5 patients will still require a traditional procedure, and your surgeon will be able to advise you on the most appropriate surgical method.
What is the difference between male and female rhinoplasty?
Rhinoplasty also known as a nose job or nose reshaping procedure is a very commonly performed cosmetic surgery procedure in both women and men. In the UK, rhinoplasty is the most commonly performed cosmetic surgery procedure in men.
There are a number of recognised surgical techniques for carrying out rhinoplasty in both women and men, although there are a number of key differences between the male and female nose. These fundamental structural differences often result in very different treatment goals for both sexes.
There are many reasons patients choose to have a rhinoplasty. The most common reasons include functional disturbances including disordered breathing, improving the appearance of the nose in proportion to the face, making people feel more comfortable in themselves and correcting facial asymmetry. There are several common nasal abnormalities, including a bump on the bridge of the nose, also known as a dorsal hump, a bulbous tip or boxy tip, septal deviation, a droopy nasal tip, narrow or wide noses and noses that are deviated to one side as a result of injury. The key task of the rhinoplasty surgeon is identifying the key features that distinguish the male and female noses and designing surgical approaches to address the abnormalities.
Rhinoplasty in men often involves creating a straighter angle with a more prominent definition with less of a bulbous appearance. The subsequent more prominent appearance often enhances the overall appearance of the face. Many men also choose to have rhinoplasty to correct the deviation of the nose from a previous injury or to smooth out any localised lumps or bumps.
Women often choose to have more subtle, less discernible changes to their noses to maintain their overall facial balance. The most commonly requested procedure is to reduce the appearance of a droopy nasal tip often associated with a dorsal hump on the bridge of the nose. In both men and women our surgeons are trained to correct any nasal concerns that are important to the individual patient. In general, men looking for a more chiselled or defined nose which is not too narrow or results in a pinched appearance to the nasal tip. The art of rhinoplasty surgery lies in tailoring the individual procedure to each patient’s individual anatomy to help them achieve their goals.
In most cases, the nose structure in men and women differs significantly in that women often have shorter noses than men and will have thinner skin. Many men may have thicker and more sebaceous skin, and this may make them less than ideal candidates for rhinoplasty. Thickened skin with sebaceous glands often gives rise to a large nasal tip, also known as a bulbous tip. This appearance is much more prevalent in men and may coexist with a condition known as rhinophyma.
The COVID-19 global pandemic has led to a huge increase in video calls, and this has resulted in many men becoming more self-conscious of their appearance on video conferencing apps. Rhinoplasty differs from other types of cosmetic surgery in that it can also improve functional aspects of the nose in addition to its aesthetic appearance to help restore overall facial balance. Many men who have had a rhinoplasty often report a huge increase in self-confidence, leading to increased comfort in how they look in front of others.
Male nose job surgery can be performed alongside other facial surgery procedures. The most common combination involves a chin augmentation with a chin implant with a rhinoplasty to improve the appearance of the face in profile view with a more defined and stronger chin.
As one of the largest private rhinoplasty units in Europe, our surgeons carry out all types of rhinoplasty, including open rhinoplasty, closed rhinoplasty, septo-rhinoplasty, rhino tip surgery, ultrasonic rhinoplasty and revision rhinoplasty.
Get in touch today and speak to one of our experienced patient care coordinators to learn more about rhinoplasty. Book a consultation with an expert surgeon to start your journey towards achieving your treatment goals.
How to prepare for rhinoplasty
Preparing for rhinoplasty, also known as a “nose job,” involves several important steps to ensure that the surgery goes smoothly and that the patient can recover as quickly and comfortably as possible.
Here are some of the key steps that patients should take to prepare for rhinoplasty:
- Consult with a qualified plastic surgeon: Before undergoing rhinoplasty, it is important to consult with a qualified plastic surgeon who has experience performing the procedure. The surgeon will be able to evaluate the patient’s individual case, discuss the patient’s goals for the surgery, and provide a detailed explanation of the procedure, including the risks and potential complications.
- Get a medical evaluation: Patients will need to undergo a medical evaluation to ensure that they are in good health and that they are able to undergo the surgery safely. The surgeon will review the patient’s medical history, perform a physical examination, and may order some lab tests if necessary.
- Stop smoking and avoid certain medications: Smoking can interfere with the healing process, so patients should stop smoking at least six weeks before the surgery. Patients should also avoid certain medications, such as aspirin and non-steroidal anti-inflammatory drugs (NSAIDs), as they can increase the risk of bleeding.
- Make arrangements for post-operative care: Patients should make arrangements for post-operative care, such as arranging for someone to drive them home after the surgery and having someone stay with them for the first few days after the surgery to help with tasks such as bathing and dressing.
- Follow pre-operative instructions: The surgeon will provide the patient with detailed pre-operative instructions, which will include information on what to eat and drink before the surgery, how to prepare for the surgery, and how to care for the surgical site after the surgery. It is important for the patient to follow these instructions carefully to ensure a smooth recovery.
- Understand the recovery process: Rhinoplasty recovery process can take several weeks, so the patient needs to understand what to expect during the recovery process and plan accordingly. Some swelling and bruising are expected after the surgery, and the patient will need to avoid certain activities, such as sports, heavy lifting, and exercise, for at least two weeks.
- Have realistic expectations: it’s important for the patient to have realistic expectations for the outcome of the surgery and understand that the final results of the surgery will not be visible until the swelling has completely subsided.
By following these steps, patients can prepare for rhinoplasty and ensure that the surgery goes smoothly and that they are able to recover as quickly and comfortably as possible.
Anaesthesia options for rhinoplasty surgery
During rhinoplasty surgery, also known as a “nose job,” the patient will be given anaesthesia in order to make them comfortable and pain-free during the procedure. There are several different options for anaesthesia that can be used during rhinoplasty, and the best option will depend on the patient’s individual needs and preferences.
Here are some of the most common options for anaesthesia used during rhinoplasty:
- Local anaesthesia: Local anaesthesia is the injection of a numbing agent directly into the surgical site. This type of anaesthesia is used for minor procedures that do not require the patient to be completely asleep. Local anaesthesia is usually combined with IV sedation, which is a mild form of anaesthesia that relaxes the patient and makes them drowsy.
- IV sedation: IV sedation is a mild form of anaesthesia that is administered through a vein. This type of anaesthesia makes the patient drowsy and relaxed, but they are still able to respond to commands and breathe on their own. IV sedation is often used in combination with local anaesthesia.
- General anaesthesia: General anaesthesia is a type of anaesthesia that puts the patient to sleep and causes them to lose consciousness during the procedure. General anaesthesia is usually administered through an IV and is known as TIVA. This type of anaesthesia is used for more complex procedures or for patients who are unable to tolerate the procedure with IV sedation or local anaesthesia.
It is important to note that the choice of anaesthesia will depend on the patient’s individual needs and preferences, as well as the complexity of the surgery. The patient’s medical history, current health conditions, as well as the surgeon’s preference will also be taken into consideration in order to select the appropriate anaesthesia option. The patient will discuss with the anaesthesiologist to decide the best option.
It is also important to note that, regardless of the type of anaesthesia used, the patient will be closely monitored by an anaesthetist throughout the procedure to ensure their safety and comfort.
Rhinoplasty, also known as a “nose job,” is a surgical procedure that typically takes 1-3 hours to perform. However, the recovery time can vary depending on the individual and the complexity of the procedure. It is important to consult with a plastic surgeon to get a more specific estimate for your individual situation.
Open Rhinoplasty vs Closed Rhinoplasty
Rhinoplasty can be performed using two different techniques: open rhinoplasty and closed rhinoplasty.
Open rhinoplasty: In this technique, the surgeon makes an incision across the columella (the area between the nostrils) in addition to incisions inside the nostrils. This allows the surgeon to have clear and direct access to the underlying bone and cartilage, which allows for greater precision and control during the reshaping process. The incision across the columella usually leaves a small scar which can be easily hidden.
Closed rhinoplasty: In this technique, the surgeon makes all the incisions inside the nostrils, which allows the surgeon to access the underlying bone and cartilage. This technique is less invasive and leaves no visible scarring. However, it can be slightly more challenging for the surgeon to have the same level of precision and control as with open rhinoplasty.
The choice of technique will depend on the patient’s goals, their anatomy and the surgeon’s experience and preference.
It’s important to note that both techniques have their own advantages and disadvantages, and the final decision should be made after a detailed consultation with a qualified plastic surgeon who can evaluate your individual situation and recommend the best approach for you.
Rhinoplasty surgery step by step
- Anesthesia: Rhinoplasty is typically performed under general anaesthesia.
- Incision: The surgeon will make incisions inside the nostrils or across the columella (the area between the nostrils) to access the underlying bone and cartilage.
- Reshaping the Bones: Depending on the desired outcome, the surgeon may use surgical tools to reshape the bones of the nose. This may involve breaking the nose and resetting it to a new position or using small grafts to add or remove bone.
- Reshaping the Cartilage: The surgeon may also reshape the cartilage, which provides structure and support to the nose. This may involve removing or repositioning cartilage or using grafts to add cartilage to certain areas.
- Closing the Incisions: The surgeon will then close the incisions using sutures or surgical tape.
- Placement of Splint: A splint is placed on the outside of the nose to help maintain the new shape of the nose and to protect it during the healing process.
- Recovery: After the surgery, patients will need to rest and recover for several weeks. The swelling and bruising will subside gradually, and the final results will be visible after several months.
It’s important to note that this is a general description of the procedure, and it can vary depending on the individual needs of the patient and the technique used by the surgeon.
Will my nose need to be fractured during a rhinoplasty?
During a rhinoplasty, also known as a “nose job,” the nose may or may not be fractured, depending on the specific goals of the surgery and the individual case.
In some cases, the surgeon may choose to use an “open” technique, which involves making an incision on the columella (the small strip of tissue that separates the nostrils) to access the nasal bones and cartilage. In these cases, the surgeon may need to fracture the nasal bones to reshape them and achieve the desired outcome.
In other cases, the surgeon may choose to use a “closed” technique, which involves making incisions inside the nostrils to access the nasal bones and cartilage. In these cases, it may not be necessary to fracture the nasal bones.
It is important to discuss the goals of the surgery with the surgeon and which technique will be used. The surgeon will also consider the patient’s specific anatomy and the desired outcome of the surgery.
It’s important to note that, regardless of the technique used, the goal of rhinoplasty is to improve the overall appearance of the nose while maintaining or improving the patient’s breathing.
Recovery after rhinoplasty, also known as a “nose job,” can vary depending on the specific procedure performed, the patient’s overall health, and the patient’s individual healing process.
In the immediate aftermath of the surgery, the patient’s nose will be swollen and bruised. The surgeon will place a splint on the nose to help support it during healing. The patient will also have to wear a nasal dressing, which will be removed after a week.
During the first few days, the patient will experience some pain and discomfort, which can be managed with pain medication prescribed by the surgeon. Cold compresses can be applied to the nose to help reduce swelling and bruising. The patient should also rest with their head elevated to help reduce swelling.
The patient will be able to return to work or school within a week, but strenuous activities such as sports, heavy lifting, and exercise should be avoided for at least two weeks. The patient should also avoid any activities that could cause injury to the nose, such as contact sports or activities that expose the face to the sun.
Swelling and bruising will gradually improve over the first few weeks, but some residual swelling can take up to 3 months to fully subside. The final results of the surgery will not be visible until the swelling has completely subsided.
The patient will need to follow the surgeon’s instructions for post-operative care and attend follow-up appointments to ensure that the healing process is progressing as expected. The patient should also be aware that there may be some slight asymmetry and irregularity after the surgery, but these issues can usually be corrected with revision surgery if necessary.
It is important to keep in mind that recovery after rhinoplasty can be different for every individual and that some people may experience more or less swelling, pain, and other side effects than others. A qualified plastic surgeon will be able to give you a more specific idea of what to expect during your recovery, depending on your individual case.
Top tips for faster healing after a rhinoplasty
Recovering from rhinoplasty can take several weeks, but there are steps you can take to help speed up the process.
- Follow all postoperative instructions: Your surgeon will provide you with specific instructions on how to care for yourself after the surgery, including how to clean your nose, how to sleep, and when to return for follow-up appointments. It is important to follow these instructions closely to avoid complications and promote healing.
- Keep your head elevated: Keeping your head elevated can help reduce swelling and bruising. Use pillows to prop yourself up when sitting or lying down.
- Apply cold compresses: Applying cold compresses to your face can help reduce swelling and bruising. Use ice packs or frozen peas wrapped in a towel.
- Avoid strenuous activity: Avoid strenuous activity and heavy lifting for at least two weeks after surgery. This will help reduce the risk of bleeding and swelling.
- Take your medications as prescribed: Your surgeon may prescribe pain medication and antibiotics to help with pain and prevent infection. Be sure to take the medication as prescribed, and don’t stop taking it until your surgeon tells you it’s okay to do so.
- Avoid smoking: Smoking can impede healing, cause infection and delay recovery time.
- Keep your follow-up appointments: Your surgeon will want to see you for follow-up appointments to monitor your progress and ensure that everything is healing properly.
It’s important to keep in mind that every person is different, and the recovery process can vary from person to person, so it’s best to follow your surgeon’s instructions for the best outcome.
What scars will I have after a nose job?
The type and location of scars after a nose job (rhinoplasty) will depend on the specific technique used by the surgeon. In an “open” rhinoplasty, an incision is made across the columella (the skin between the nostrils), and the skin is lifted off the underlying structures of the nose. This allows the surgeon to access the underlying cartilage and bone, and make changes as necessary. In a “closed” rhinoplasty, all incisions are made inside the nose, which can minimise visible scarring. However, the technique used will also depend on the individual case, the patient’s needs, and the surgeon’s preference.
After the surgery, the incisions will be closed with sutures, and the healing process will take several weeks to months. Once the healing process is complete, most scars will be concealed within the natural creases of the nose, and will be difficult to see. However, it’s important to keep in mind that the final result of the surgery may not be immediately visible, as it can take several months for the swelling to subside and the final shape of the nose to become apparent.
It’s important to note that scarring is an inherent part of any surgical procedure, and while every effort is made to minimise it, there is no way to guarantee that scars will not be visible. It is important to discuss the potential for scarring with your surgeon before deciding to undergo surgery.
Risks and potential complications of rhinoplasty surgery
Rhinoplasty, also known as a “nose job,” is a surgical procedure that is used to change the shape of the nose. Like any surgical procedure, rhinoplasty carries certain risks and potential complications. It is important for patients to be aware of these risks and potential complications before deciding to undergo the surgery.
Some of the potential risks and complications of rhinoplasty include the following:
- Anaesthesia complications: As with any surgery that requires anaesthesia, there is a small risk of complications related to the use of anaesthesia, such as reactions to the drugs used or problems with breathing.
- Infection: There is a risk of infection after any surgical procedure, including rhinoplasty. Signs of infection include redness, warmth, and increased pain or drainage from the surgical site.
- Bleeding: Some bleeding is normal after rhinoplasty, but excessive bleeding can lead to hematomas, which are pockets of blood that collect under the skin. Hematomas can cause additional swelling and can lead to scarring.
- Nasal obstruction: Rhinoplasty can cause temporary or permanent nasal obstruction if the internal structure of the nose is damaged or if the nasal passages are narrowed during the procedure.
- Asymmetry: There may be some slight asymmetry and irregularity after the surgery, but these issues can usually be corrected with revision surgery if necessary.
- Unsatisfactory results: Some patients may be unhappy with the results of their rhinoplasty and may require revision surgery to achieve the desired outcome.
- Skin necrosis: There is a small risk of skin necrosis, which is the death of skin tissue due to lack of blood flow.
- Scarring: Although the incision made during rhinoplasty are usually small and hidden inside the nostrils, there is a risk of scarring.
It is important to remember that these risks and complications are relatively rare and that most patients who undergo rhinoplasty do not experience any major complications. A qualified plastic surgeon will be able to discuss the risks and potential complications of the surgery with you in more detail and help you to make an informed decision about whether or not to proceed with the procedure.
What are the alternatives to a surgical rhinoplasty?
Non-Surgical Rhinoplasty ‘liquid nose job’
For patients who desire only subtle changes to the nose and are not keen on the idea of invasive surgery, the option of non-surgical rhinoplasty is now available for temporary correction of nasal imperfections. In non-surgical rhinoplasty, hyaluronic acid-based soft tissue fillers are injected to reshape the nasal framework. Non-surgical rhinoplasty should be viewed as a medium-term solution as the fillers have a thicker consistency and therefore last up to a year. Hyaluronic acid fillers gradually break down, and the procedure is not a permanent solution. The non-surgical nose job procedure is commonly used as a ‘tester’; patients can gauge how they look with the non-surgical rhinoplasty first. If they are happy, then they can proceed with a more permanent long-term solution in the form of surgical rhinoplasty. Patients who are not keen on the idea of surgery can opt for yearly maintenance treatments. It should be noted that non-surgical rhinoplasty can not correct all abnormalities of the nasal structure, unlike a surgical rhinoplasty and is ideally suited for correction of the nasal bridge or tip correction.
How much does a rhinoplasty cost in the UK?
There are several factors which will determine the overall cost of your rhinoplasty procedure, and the final quotation will be given after your face-to-face consultation with your specialist plastic surgeon.
- Open or closed rhinoplasty
- Need for septum graft (septorhinoplasty)
- Traditional or ultrasonic method of reshaping the nasal bony framework
- Primary or revision rhinoplasty
Why not call 0207 993 4849 and speak to one of our expert patient coordinators, who may be able to give you a rough costing before your procedure?
Always remember that price should never be the determining factor when choosing your provider for nose job surgery. We feel that safety and quality of service should be your number one priority and instil in you the confidence that our team will look after you before, during and after your procedure to the best of their ability.
Spread the cost of your rhinoplasty procedure – from as little as £120 per month
Centre for Surgery is fully approved to offer finance via our specialist finance partner, Chrysalis Finance. You no longer need to use your savings to pay for your treatment – you can apply to spread the cost of your procedure with Chrysalis Finance using their simple 1,2,3 application to pay for it. Don’t wait until you have enough money for your treatment. Apply today and (subject to status) pay for your procedure easily in monthly instalments using one of their payment options. Chrysalis Finance is the only ethical provider that focuses solely on the provision of specialist financing for medical procedures.
What is included in my treatment package?
- As many preoperative consultations with your surgeon as you like to make sure the procedure is right for you
- Treatment at a specialist day surgery facility recently rated ‘Good’ by the CQC
- Enhanced same-day discharge with the added benefits of recovering in your own home
- 24/7 clinical support from your surgeon for the first 48 hours and our expert postoperative support team
- Your very own dedicated patient coordinator
- In-depth preoperative medical assessment to make sure you are fully fit for the rhinoplasty procedure
- Exceptionally high standards of postoperative care described as ‘outstanding’ by the CQC with regular telephone and face-to-face checks by our expert postoperative support team
Why choose Centre for Surgery for rhinoplasty surgery?
One of the largest private rhinoplasty units in Europe
At Centre for Surgery, we are proud to host one of the most experienced units in rhinoplasty surgery. Our rhinoplasty surgeons perform both primary and revision rhinoplasty and aesthetic and reconstructive nasal surgery. For complex cases, they very often operate together to achieve optimal patient outcomes. Over 100 cases are carried out each year, with many patients visiting us from overseas to take advantage of our deep pool of concentrated expertise in what is recognised to be the most challenging procedure in plastic surgery.
What is rhinoplasty surgery?Rhinoplasty surgery alters the size and shape of the nose and can be performed for aesthetic, reconstructive or combined and aesthetic and reconstructive reasons.
There are different types of nose shapes, with some of the most common types which can be treated with Rhinoplasty including:
- Long noses with prominent nasal tips or large nostrils
- Large noses with prominent nasal tips or large nostrils
- Nasal asymmetry or asymmetrical nostrils
- Prominent bump on the bridge of the nose
- Deviated septum causing airway obstruction and breathing difficulty
The nose forms a central component of the face and therefore has a significant impact on the overall facial balance. Nose contouring surgery is highly effective in correcting many nasal abnormalities, including crooked noses, bulbous noses and hooked noses.
A rhinoplasty is also known as a nose job.
How to choose the best rhinoplasty surgeonIf you are considering having a rhinoplasty procedure, you must carry out your research to make sure you choose a highly experienced and qualified specialist surgeon in rhinoplasty. An expert rhinoplasty Surgeon will be able to assess you in detail and explain all aspects of the proposed procedure, including what to expect in the recovery period and the potential risks and complications of rhinoplasty surgery. Rhinoplasty is one of the most challenging procedures in cosmetic surgery, and you will receive an honest and straightforward assessment of what can be achieved with surgery.
Patients should always check that their surgeon is an accredited specialist in rhinoplasty surgery and perform rhinoplasty surgery regularly. Your surgeon should be experienced in both primary and revision rhinoplasty and aesthetic and functional correction of nasal abnormalities. Do remember to ask to see the surgeon's gallery of before and after nose job photos, especially of patients that have a similar nose size and shape to yours, to give you a reasonably accurate idea of what can be achieved with rhinoplasty surgery. It would help if you also viewed patient reviews on verified review websites such as Trustpilot.
The best rhinoplasty surgeon will always aim to design the procedure to give beautiful and natural-looking results and will perform a holistic assessment before proceeding with surgery which includes assessing your mental and physical fitness. Patients who have chronic uncontrolled medical conditions such as severe hypertension then they may be inappropriate candidates for rhinoplasty surgery. Our surgeons routinely turn down up to 30 to 40% of patients as they are deemed inappropriate for rhinoplasty, and this is a testament to the high standard of ethics and professionalism that our surgeons possess.
To verify your surgeon's credentials, you should always check on the GMC website that your surgeon is listed on the specialist register for plastic surgery, ENT surgery or maxillofacial surgery. You can be assured that you are seeing a highly skilled specialist who has completed many years of training in their medical discipline.
What should I consider before having a nose job?We believe that the best outcomes after rhinoplasty & nose job surgery happen when patients make the right choice of clinic and surgeon.
1. In deciding on the right clinic for you, always carry out extensive research and choose a well-established and reputable clinic. Centre for Surgery are rhinoplasty specialists and has been established for many years. Our patient coordinators and surgeons are here to answer any questions you may have to empower you with the right information.
2. Your choice of surgeon should be based on their qualifications, experience and having a record of good patient feedback. You should know who you will be seeing before your consultation. At the Centre for surgery, our nose job surgeons are specially selected after a rigorous appointment process to ensure they have the right skill set to perform rhinoplasty.
3. When choosing to have a cosmetic surgery procedure, you should not base your decision on price alone. It is important to make sure you are having treatment in a safe and regulated environment by staff who are both fully trained and caring to look after your needs – before, during and after your procedure.
4. Avoid clinics that offer a ‘hard-sell’. If something sounds too good to be true, it probably is. Ask the surgeon what techniques will be used. Surgeons at the Centre for Surgery perform all types of rhinoplasty, including complex reconstructive surgery.
We believe patient safety and happy, satisfied patients are the bedrock of our reputation as an ethical provider of cosmetic surgery. Our doctors are known for giving straightforward, honest advice, and you can be assured that your journey with the Centre for Surgery will be a positive experience on the path to renewed self-confidence.
What can be achieved with rhinoplasty?The Rhinoplasty procedure can achieve the following objectives:
Narrow the bridge or middle third of the nose
Reshape the nostrils by widening or narrowing
Nose tip reshaping and refinement
Sculpt the bridge or nasal dorsum of the nose
Reducing the size of the nose with the removal of cartilage and bone
Nasal profile contouring
Rhinoplasty for noses previously damaged through trauma (car accidents, sports etc.)
Septum deviation or a bent nose
What are the different types of rhinoplasty & nose job ?There are a number of different types of rhinoplasty - the main difference is between an open and closed rhinoplasty.
Closed rhinoplasty (endonasal rhinoplasty) is a common type of nose surgery procedure. There are no external incisions made in a closed rhinoplasty, and all incisions are made inside the nostrils to expose the structures to be modified. Both bony and cartilaginous structures can be modified, and tip work is also possible with a closed approach. A closed nose job results in less bruising and swelling, leading to a faster recovery. The operation is also much quicker compared with an open rhinoplasty.
Open rhinoplasty surgery results in full exposure of the underlying bony and cartilaginous framework. Under direct vision, the surgeon is able to correct with precision any nasal structure. The incision for open rhinoplasty is made at the columella, which is the area of skin between the nostrils. This heals very well and is barely visible three months after the procedure. The skin is carefully reflected from the underlying tissues to facilitate the subsequent nose reshaping. After the procedure, the special brown tape is applied to the nose, followed by the application of an aluminium-backed nasal splint. This is kept in place for one week to protect the bone during healing. An open rhinoplasty technique is also the foundation for an ultrasonic rhinoplasty technique. the open approach is ideal for patients with significant structural issues or previous traumatic injury to the nose and also for revision rhinoplasty.
Septorhinoplasty is performed for patients with functional impairments to the nose, of which the most common is difficulty in breathing. This is often due to a deviated septum which is the midline partition between the two nostrils. The septum is also composed of cartilage in its front portion, and this can be straightened as well as used as a source of grafting material for augmenting other parts of the nose. A septorhinoplasty can address both functional and aesthetic concerns in a single procedure. The procedure takes longer to perform compared with a traditional open rhinoplasty.
Tip rhinoplasty is performed to modify the cartilaginous part of the nose, which is the lower two-thirds. The nasal alterations can be made as part of closed or open rhinoplasty. A closed approach may not work for all deformities as visualisation is limited in the closed approach. An open approach can be used for all modifications. Common tip abnormalities include an over-rotated or under-rotated tip, large flared nostrils, or tip under-projection or over-projection.
Non-surgical rhinoplasty is a non-invasive type of nose reshaping that does not involve surgery. A soft tissue filler called hyaluronic acid is injected into the nose to correct minor abnormalities. Rhinofiller is ideal for patients who are not keen on surgical rhinoplasty and prefer only subtle changes to the nose. The effects are temporary in nature and will need repeat injections if you wish to maintain the results from your previous treatment. Often patients will use a non-surgical rhinoplasty as a ‘tester’ to determine if they would like the results from a surgical nose job. They can then proceed to the surgical procedure with a more accurate idea of what it could look like.
What is preservation rhinoplasty?With rhinoplasty performed in those of caucasian origin, the main problem reported by patients is a prominent dorsal hump independent of age or gender. The removal of the dorsal hump in a procedure known as dorsal hump reduction is a key component of a rhinoplasty procedure with removal of controlled amounts of bone and cartilage. In traditional rhinoplasty surgery, dorsal hump reduction leads to disruption of the bony vault of the nose and additional steps are necessary to restore the nasal anatomy and function. For many years, dorsal hump reduction was the standard procedure used by most rhinoplasty surgeons to alter the nasal shape. There are a number of complications associated with bony hump reduction including irregularity of the underlying bone, deformity and a saddle nose from removal of too much cartilage. Of all plastic surgery procedures, rhinoplasty carries a significant rate of revision surgery when compared with other facial and body procedures. This is often because it can be very difficult to predict how the nose will heal after surgery. In revision rhinoplasty, the use of grafts taken from other parts of the body may be required to reconstruct the nasal framework. In preservation rhinoplasty, the surgeon is able to employ gentler techniques to reshape the nasal bone. There is no longer a need to perform potentially aggressive manoeuvres with traditional surgery. Preservation rhinoplasty is gentler on the soft tissues and results in less bruising and swelling in the postoperative period. The results can also look more natural with the avoidance of the risks of a dorsal hump reduction using older methods. The rate of revision surgery is lower following preservation rhinoplasty. The recovery is much quicker and is comfortably performed as a day case procedure meaning you get to recovery in the comfort of your own home following surgery. Bleeding is much less and this results in less bruising. The older method of inserting nasal packs into the nose may not be required after the procedure. These packs can be uncomfortable to remove in many cases. Patients can breath through their nose and regain their sense of smell much quicker. To learn more about preservation rhinoplasty and if it could be appropriate for you, please book a consultation with one of our specialist rhinoplasty surgeons.
What happens on the day of my rhinoplasty procedure?When you arrive at the centre for your rhinoplasty procedure, one of our nurses will take you to our admission room where you will be asked to change into clinic clothing and have your vital signs measured. The anaesthetist will assess you including performing a preoperative airway assessment. The anaesthetist will also prescribe and give you oral premedication to optimise your anaesthetic and how you recover after surgery. Then the surgeon will see you and will go over the consent form with you to make sure you are fully clear on the surgical plan. The surgeon may use a marker pen to use on your nose. After your procedure is complete, you will be transferred to the recovery area where you will be looked after on a one to one basis by one of our expert recovery nurses. Fruit juice or a hot drink will be offered and you will be encouraged to mobilise to reduce the risk of DVT. Once you are ready for discharge, you will be seen by your surgeon who will give an overview of the procedure and the postoperative instructions to be followed for the next 6 weeks. You must have a responsible adult escort to take you home and look after you for the first 24 hour after your rhinoplasty procedure. A follow-up postoperative appointment will be booked and some spare cotton gauze will be given as it not uncommon to have spots of blood dripping from the nostrils for the first 24 hours following rhinoplasty surgery.
What is a preservation Rhinoplasty?In those of Caucasian origin, one of the most common reasons to request rhinoplasty is for correction of the dorsal hump, regardless of age or gender. Dorsal hump reduction involves the removal of varying amounts of both bone and cartilage. In traditional methods, this process of removal results in an 'open-roof deformity' and must be surgically restored to restore nasal functionality.
The traditional method of performing Rhinoplasty has for many years been the standard method of reshaping noses with the risk of bony unevenness and residual deformity. Of all procedures in cosmetic surgery, Rhinoplasty carries the highest risk of secondary and corrective revision surgery later on. Secondary procedures often require the use of grafts taken from the ear or ribs.
With preservation rhinoplasty, surgeons no longer need to employ aggressive methods of hump resection. Dorsal preserving surgery avoids many of the complications seen with traditional methods and with reduced downtime. As with all types of Rhinoplasty we perform, preservation Rhinoplasty is performed as a day case procedure.
The use of internal packs for the nose after surgery is eliminated with a preservation rhinoplasty procedure. This makes the recovery process much more pleasant for patients allowing a speedier return to normal activities of daily living.
Do you perform Ethnic Rhinoplasty?Yes, we do.
Whether you are:
Our surgeons have the expertise to create natural-looking results specific to your ethnic origin.
How do I get the best outcome from rhinoplasty ?Smoking impairs healing, so you should aim to stop smoking at least one month before rhinoplasty. Medicines which thin the blood should also be stopped – you should consult your GP if you have any concerns about your health. You will be required to wash with a special antiseptic solution before surgery to minimise the risk of infection.
Am I an ideal candidate for rhinoplasty ?You must have realistic expectations of what can be achieved with rhinoplasty surgery. Your health should be optimal, and you must be at least 18 years of age. Performing rhinoplasty on the immature facial skeleton can impair the results.
Your surgeon will fully assess you to make you fully informed of what the nose job procedure can and cannot achieve.
What options exist for correcting the tip of the nose?A Rhino-tip correction may be the most suitable option.
Here, just the cartilaginous nasal framework and alar base and nostrils are addressed.
In many cases, this avoids the need for a full rhinoplasty with correction of the bony component, which is often the part which gives rise to bruising of the area under the eyes.
What does the rhinoplasty procedure involve?A closed rhinoplasty or open rhinoplasty can be performed. Open rhinoplasty is better for correcting tip deformities and revision rhinoplasty surgery. The closed rhinoplasty technique is better for correcting hump deformities, and the healing is generally quicker.
In a nose reduction procedure, the nose is surgically made smaller with the removal of cartilage and bone. The surgeon can do this by either using a rasp to file down the dorsum of the nose or, for larger dorsal humps, an osteotome. If the nose in the upper third needs to be narrowed, lateral osteotomies must also be performed. Towards the end of the procedure, your surgeon will decide whether to narrow the nostrils to maintain balance with the rest of the newly reduced nose. Tip rhinoplasty involves the use of both suture techniques and cartilage grafting techniques to control the rotation and projection of the nose. The angle between the nose and upper lip can also be modified.
How long does rhinoplasty take?The nose job procedure can take up to three or four hours, but 2-3 hours on average.
Revision rhinoplasty surgery takes longer because they tend to be very complex in nature.
Will I have scars after rhinoplasty?Most rhinoplasty incisions are made inside the nose. With a closed rhinoplasty, all incisions are inside the nostrils.
In open rhinoplasty, an incision will be made at the base of the nose at the columella, which is the small fleshy part separating the nostrils. This scar is minimal, and surgical methods have evolved to make this scar look as minimal as possible. In practice, only someone looking at your nose from below will be able to see any remnants of the scar which would be minimal.
How long does rhinoplasty recovery take?This depends on two key aspects. How long does it take for the nose to heal fully with full resolution of swelling, and how soon can you return to full activity without any limitations placed. There is quite a big disparity between the two, with the former taking much longer.
The great thing about the nose job procedure is that the procedure and the immediate recovery are surprisingly smooth, with little, if any, pain experienced. This is often a surprising fact for patients who expect to be bedridden with significant pain due to the ‘bones being broken. Centre for Surgery uses an advanced form of anaesthesia known as total intravenous anaesthesia or TIVA for short. TIVA has an excellent recovery profile with rapid wake-up times and minimal, if any, risk of nausea and sickness. Our nursing team routinely have patients ready for discharge within 1-2 hours of the procedure's end. There may be a small amount of blood which drips from the nostrils. This is quite normal, and our nurses will place a layer of gauze beneath the nostrils to absorb this leakage which often settles after 24 hours.
The small oozing, in most cases, subsides by the following morning. There may be some clear fluid which then forms but this then clots and collects around the internal dissolvable sutures. Tap water can be used to keep the outer part of the nostrils clean. Don’t be too concerned about the blocked and unclean nature of the internal aspect of the nose. Our nurse will see you one week after your procedure. At this appointment, they will remove the external permanent sutures at the columella, remove the splint and clean the inside of the nose. Brown tape may be applied to the nose, which can be worn for 12 hours each day to help the overlying skin heal better.
It is not uncommon to sometimes have an impressive degree of bruising around the eyes. This is not painful and is harmless as it will quickly resolve, and by day 10, there should be no further bruising around the eyes. Bruising around the eyes is often related to the bone cuts during surgery. If you have bony work performed to make the nose smaller, then the surgeon will apply a special metal-backed aluminium splint (known as a Denver splint) to the bridge of the nose. This is removed 7-10 days later. After removal, do not be too concerned about the appearance, as the nose still has a long to go in terms of healing. It will look swollen, especially for the tip, which may appear bulbous without any shape or definition. Tip swelling may take 6 to 12 months to resolve fully. As time progresses, you will notice when the swelling settles, and the skin will begin to feel less thick and stiff. Patience is vital with recovery after rhinoplasty & nose job surgery.
To speed up healing, you should refrain from heavy exercise for at least two weeks after the procedure. Sleeping elevated on a pillow for the first few days will help to relieve congestion and swelling. Avoid heavy lifting or bending over too much. Although the splint will be obvious to others, it should not impede you from going outside.
What is the minimum age for rhinoplasty surgery?You must be a minimum of 18 years old.
There is no upper age limit for rhinoplasty surgery as long as patients are in good physical and mental health and have realistic expectations.
How do I prepare for rhinoplasty surgery ?Preparation for nose job surgery begins right from the very beginning when you see your surgeon for an initial consultation. Your surgeon will review your medical history as well as advise on top tips for best preparation, including eating a healthy diet and avoiding smoking and alcohol as these both delay healing and avoidance of aspirin and blood thinning medicines.
On the day of your procedure, you will need to avoid all food for 6 hours beforehand, and water can be had for up to 2 hours before the procedure. Your surgeon may recommend Arnica tablets to reduce any bruising that often develops after rhinoplasty, especially if bony work has been performed like dorsal hump removal or lateral osteotomy.
Use the time at the consultation to ask any questions you may have about the procedure and whether you have any concerns about any aspect. Do remember that you can see your surgeon as many times as you like before your procedure. With rhinoplasty surgery, you must be armed with information about all aspects of the procedure from start to finish.
Can I go home the same day as the rhinoplasty ?You will be discharged on the same day after nose job surgery once the effect of anaesthesia wears off, and you can rest at either one of our partner hotels or in the comfort of your own home, providing you have a responsible adult with you for at least 24 hours.
What is the rhinoplasty healing period like?A nasal splint similar to a plaster cast will be applied to your nose, and this must be worn for one week before being removed in the clinic. This ensures healing can proceed in an optimal manner and also protects your nose from any potential knock and further injury. Bruising should start to resolve after two weeks, but swelling can last for up to four weeks. The definitive appearance should start to become apparent between six months to one year after the rhinoplasty procedure.
How long does the swelling last after rhinoplasty?You should expect a moderate amount of swelling in the first 2-3 weeks after your procedure.
The swelling will reduce over the first 2-3 months.
Swelling may persist for up to a year, and this would generally be noticeable only to you by this time.
Is rhinoplasty painful?Despite popular belief, rhinoplasty surgery involves very little in the way of discomfort. This is because the surgeon injects the nose with a local anaesthetic before the procedure begins and uses gentle methods to reshape the nasal structure. Although there may be some discomfort for the first few days, this is often related to swelling and nasal congestion.
Can I take herbal remedies to speed up the healing process after nose job surgery?Surgeons at Centre for Surgery can prescribe pain medications and antibiotics to prevent infection, but other medications may complicate your aftercare. We advise our patients to consult with their surgeon before taking any medications. As for herbal remedies, it is best to avoid herbal supplements before as well as after surgery, as their safety and purity are unregulated by the FDA.
What nose job results can I expect?Initial swelling will subdue within a few weeks, and you will start seeing gradual changes in the appearance of your nose, however, it could take up to a year to see the final results of the nose-reshaping surgery.
How long do I need to take off work after rhinoplasty?This will depend on how fast you heal yourself, your job type and whether you would be comfortable for your colleagues to know that you had a rhinoplasty.
More physically demanding jobs may require more time off.
When can I exercise after rhinoplasty?You should wait at least 3-4 weeks and up to 6 weeks if you plan to play contact sports.
How soon can I fly after a rhinoplasty?We recommend that all patients avoid flying for at least three weeks as the pressurised cabin and changes in cabin pressure during flight may cause discomfort during the early healing phase.
An increase in swelling may be noticed for 1-2 days after a long flight.
Can I wear glasses after rhinoplasty?You should avoid wearing glasses that sit across the bridge of the nose during the early healing phase when the bone is still potentially fragile. This may require up to 6 weeks, so you may wish to explore the use of contact lenses during this period.
When can I drive after rhinoplasty?You should not drive for at least 2-3 days following your surgery. However, if you are taking opioid medication, this period of avoiding driving will be longer.
Your surgeon will be able to advise you further.
Does rhinoplasty change your smile?Rhinoplasty, also known as a "nose job," is a surgical procedure that can change the shape and size of the nose. While the procedure primarily focuses on the nose, it can also have an impact on the appearance of the smile, particularly if the procedure addresses the tip of the nose. The relationship between the nose and the upper lip can affect the way the lips move when smiling, which can in turn affect the appearance of the smile. However, this is not always the case and the impact on the smile will vary depending on the individual and the specific changes made during the surgery.
Will rhinoplasty affect my sense of smell?This is an extremely rare complication of rhinoplasty surgery. Your sense of smell may be affected for up to 6 weeks after surgery. This is due to congestion caused by post-op swelling, which should subside by the first or second week.
When can I resume contact sports after rhinoplasty?You should wait for at least 8 weeks to ensure proper healing.
Will my nose need to be broken during rhinoplasty?You may be an appropriate candidate for preservation rhinoplasty, which addresses the removal of the dorsal hump incrementally with the use of non-destructive reduction methods.
What are the risks of nose surgery?Rhinoplasty complications are uncommon. Potential complications with rhinoplasty include bleeding, wound breakdown, dorsal bridge depression, nasal airflow problems and surgical site infection. Our day surgery units are specially equipped for the performance of rhinoplasty surgery that is both safe and effective. Rhinoplasty complications are minimised through meticulous preparation and pre-operative planning by the surgical team.
What should I avoid after rhinoplasty surgery?As you will experience a certain degree of swelling and bruising, you should avoid excessive physical activities for at least two weeks. If you wear glasses, we recommend not to wear them for six weeks following your surgery to gain the best outcome. Also, avoid smoking and high exposure to the sun, as it will slow down the healing process.
I want revision rhinoplasty surgery, how long do I need to wait after my initial surgery?After your first nose-reshaping surgery, it is ideally recommended not to have any further work done for 12-18 months so that a favourable outcome can be achieved after revision surgery. The waiting period between your first and revision surgery must be carefully decided by you and your surgeon by looking at the result achieved and your expectations.
I have breathing problems, can I still opt for a nose-reshaping surgery?Yes, certain breathing problems caused by crooked or pinched noses can be cured with nose-reshaping surgery, and it can help improve both appearance and functionality of the nose.
I have very thin nasal skin, will that affect the results I can achieve with a rhinoplasty?Thin-skinned patients are regarded as the most challenging type of people for the nose-reshaping procedure, as imperfections can be very visible. Nevertheless, you can still achieve satisfactory results with meticulousness and precision when contouring the nasal framework.
Where is the rhinoplasty surgery performed?All rhinoplasty procedures are performed at our state-of-the-art centre at 95-97 Baker Street in Marylebone.
Can I view rhinoplasty before and after images?There are examples of rhinoplasty before and after images on this page to give you an idea of what can be achieved with nose job surgery. You can also view many more images at a face-to-face consultation with your surgeon, who can show you more relevant images based on your type of nose. We believe that all patients can gain an in-depth understanding of what can be achieved with rhinoplasty by viewing before and after images of patients who have had nose reduction and nose contouring procedures.
Are there any alternatives to a Rhinoplasty?Our practitioners are also experts at performing non-surgical rhinofiller using Hyaluronic acid injections. The results are temporary but can be repeated at 9-12 monthly intervals.
How much does rhinoplasty cost?At Centre for Surgery, we always put patient care first, and we want your experience with us to be as hassle-free as possible. Your patient journey begins with a free consultation with one of our expert rhinoplasty surgeons to discuss the goals of a nose job. You will then be given all the information you need to make an informed decision, including our market-leading finance and payment plans to make the costs of a rhinoplasty much more manageable. After your consultation, your surgeon will have a very clear idea of what your potential surgery could involve and will therefore be able to give you a very accurate estimate of the cost. We always love helping our patients to achieve their treatment goals, and our patient care coordinators are happy to answer any questions you may have at any time.
Rhinoplasty & Nose job cost varies based on what has been planned by the surgeon. The total cost includes facility fees and anaesthetist fees. Centre for Surgery owns and operates our own surgical operating theatres, so there are no hidden costs.
Can I get a nose job on the NHS?The NHS has recently tightened up their guidelines on performing rhinoplasty for functional reasons to such an extent that it is now all but impossible to have a nose job on the NHS. Rhinoplasty is considered a cosmetic surgery, and even rhinoplasty for breathing difficulties is performed less commonly in the NHS. Septoplasty is performed to correct a deviated septum by ENT surgeons in the NHS. In the NHS, it is difficult to get funding to have a septorhinoplasty which is a combination of septoplasty and rhinoplasty, as the rhinoplasty component is for cosmetic purposes.
What To Expect
The rhinoplasty consultation
We always recommend a face-to-face consultation with one of our expert rhinoplasty surgeons as the first step in your journey towards a new nose. When you meet with one of our surgeons, your surgeon will take time to listen carefully to what you hope to achieve and give you an expert opinion on what can and cannot be achieved after performing a thorough physical examination. Your surgeon may use computerised digital imaging to map the structure of your nose in detail to give you an idea of what your nose could look like after your procedure.
Your surgeon will also take a number of measurements as part of a detailed facial analysis. Finally, high-resolution photographs are taken in a number of views. Your surgeon will also discuss with you the potential risks and complications and what to expect in the postoperative phase during your healing and recovery. It is important to know what medicines you are taking as some medicines can interfere with blood clotting and may need to be stopped. Any history of medical conditions or previous surgery will also be recorded, and all the compiled information will be used to decide on your medical fitness for the rhinoplasty procedure. After a recommended two-week 'cool off' period and provided you are appropriate for the procedure, you can then make an informed decision on whether you would like to proceed with the procedure. If you are unsure about any aspect of the procedure and what it entails, then we would invite you to return for as many follow-up consultations with your surgeon as you like to ensure that rhinoplasty surgery is right for you. The consultation lasts about 45 minutes on average. It may take longer if your procedure is going to be more complex. We would actively recommend coming in for a follow-up consultation to ensure all your questions are answered.
Before your procedure
Once you have decided to move forward with rhinoplasty surgery. Our preoperative assessment team will be in touch to assess medical fitness prior to coming in on the day of surgery. There are a number of instructions to follow before your procedure including stopping any aspirin-containing medicines as these can increase bleeding and ideally stopping smoking. Smokers have a higher risk of slower wound healing as well as more chance of wound complications. On the day of your procedure, you must follow the preoperative fasting guidance which includes no food for 6 hours prior. Only clear fluids (water) are allowed up to 2 hours before your procedure.
On the day of your rhinoplasty procedure
When you arrive for your rhinoplasty procedure, you should aim to arrive on time to allow the admission process to proceed smoothly. One of our nurses will formally admit you and will check a number of items including making sure you have your postoperative medications. You will have your vital signs measured including blood pressure and heart rate. The anaesthetist will then meet you to perform a preoperative airway assessment. Finally, your surgeon will consent you for the planned procedure followed by a detailed preoperative marking of the areas to be treated. The rhinoplasty procedure takes about 2-3 hours to perform and our anaesthetists use TIVA general anaesthesia to keep you comfortable throughout the procedure. Depending on the type of rhinoplasty, your incisions could be entirely inside the nose with no visible scarring or with a small incision on the columella for an open rhinoplasty. After the procedure is complete, you will spend time in our recovery suite where you will be prepared for nurse-led discharge once you have met all the discharge criteria. It is important to have a responsible adult accompany you home and to look after you for the first 24 hours.
After your procedure
Once you are safely at home, you can be assured in having access to our specialist postoperative team round the clock. You will be given a contact number to contact your surgeon in the first 24 hours after surgery if there is any concern. A rhinoplasty procedure is associated with very little in the way of postoperative discomfort although a congested feeling is common for the first week after surgery. Bruising should start to subside after 7-10 days. You should avoid intense sunlight after the procedure to reduce the risk of pigmentary changes.
Our postoperative team will look to call every day for the first 2 weeks after your procedure. This is so we can monitor your levels of comfort and can alert your surgeon if there is any concern. Our proactive approach allows the detection of any potential issues early which results in more effective treatment. You are advised to rest for at least a few days after your rhinoplasty procedure which will also help with pain control. Heavy exercise should be avoided for at least the first 4 weeks. Our postoperative clinical team will assess you at your 1-week postoperative appointment to ensure healing is progressing normally and the site of the wounds are healthy. Your splint will be removed and if you had an open rhinoplasty, the small sutures at the base of the nose will be removed. You will be booked for your surgeon follow-up appointment at 6 weeks after your procedure.