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Nose Reshaping/Rhinoplasty

Your nose is the second most prominent feature on your face, next to your eyes. Many people are unhappy with the shape or size of their nose and a nose job may be an ideal way to shape a new you.

A rhinoplasty can increase or reduce the size of your nose, straighten a lump on the bridge of the nose, change the shape of the tip or the bridge, narrow the nostrils, or change the angle between your nose and your upper lip. Listening carefully to you, and taking a careful holistic view of your face, Mr Jawad will discuss options available to you.

The nose consists of two basic components: bone and cartilage. The bone supports the upper part of the nose, while the lower part of the nose is supported by cartilage. Inside the nose is a hollow cavity, called the nasal cavity which is divided into two sections or passages by the nasal septum (the bit dividing the two nostrils). Aesthetic or cosmetic rhinoplasty reshapes the cartilage, bone and sometimes soft tissues of the nose, to produce an appearance more pleasing to the patient. 
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More about the procedure

A rhinoplasty is performed under a general anaesthetic. The surgeon often makes an incision inside the rim of the nostrils to avoid any visible scars. However, for more complicated operations an 'open' technique may be used where a small incision is made across the base of the nose on the strip of tissue that separates the nostrils. This 'open' procedure may result in a small scar on the underside of the nose.

During surgery, the soft tissue of the nose is separated from the bone and cartilage underneath the skin. Then the bone may be broken and repositioned and the cartilage reshaped to achieve the look you require. A splint is applied and the nostrils are packed lightly with gauze. If the nose is not being reduced in size, then the nose is only taped while it is healing and stitches are not required.

Dissolving sutures are used which usually take 2 weeks to dissolve. If an incision is made across the skin separating the nostrils, then the stitches may need to be removed.

The operation can take between 1 - 2 hours, but depending on the extent of the procedure, it can take longer. Nose reshaping surgery usually requires an overnight stay but some patients may be suitable as a day case.

During your initial consultation for rhinoplasty, London based surgeon Mohammd Jawad of the Nip n Tuck Surgery will give you a detailed description of what the procedure entails.

Recovery time

Most patients find that they can go back to work one to two weeks after surgery. It will take several weeks before normal activity can be resumed however.

Swelling of the eyes, nose, and sometimes face, will be experienced after a rhinoplasty procedure. The inflammation may last for a couple of weeks. If the nasal bone was broken, some blackening or bruising around the eyes may occur. You will feel some discomfort in your nose, and some patients may experience headaches during the recovery period.

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Nose Reshaping Overview

Length of Surgery 1.5 - 2.5 hours

Anaesthesia General Anesthesia. Always performed in a hospital operating theatre as a day case or overnight case.

What to expect immediately after the operationNasal pack to be applied for 12 - 24 hours. Nasal Splint to be worn for 10 days. The patient will experience difficulty breathing through their nose. Dry and crusty mucosa inside the nose. Numbness and swelling to the nose. Black eyes. Extra care should be taken when bending or sneezing.

Infrequent Complications:Please refer to the Department of Health website.

Recovery

  • Shower/body bath after 48 hours, covering the wound site under the breast.
  • 5 - 10 days until socializing with friends & family and requiring analgesia.
  • 2 weeks until patient can return to work and perform normal social engagements including driving.
  • 6 weeks until patient can return to gym and perform strenuous activities.
  • 3 - 9 months until full settling of swelling and final shape.

Post Surgery Advice

  • Use recommended painkillers and antibiotics as prescribed.
  • Removal of splint after 1 week.
  • Brown micropore tape across nose to reduce swelling every day for 6 weeks post-operation.
  • Day or night reapply splint for another 2 weeks especially in male Rhinoplasty.

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