"RHINOPLASTY – NOSE JOB"

The shape of the nose on the outside is due to the shape of bone and cartilage and the overlying skin. The top of the nose is made of bone shaped like a roof, which is hard. The middle and tip of the nose are made of cartilage, which is softer. The skin varies in thickness from person to person, and this also affects the shape.

Rhinoplastyis the medical term for nose job and is an operation to change the shape of the nose. The type of Rhinoplasty depends on which particular area of the nose needs correction. This operation is tailored to the particular problem of your nose. This can include twisted, bent nose to straighten it. It can be done to remove any bump on the nose or to alter the overall size of the nose to make it smaller or bigger. Alternatively the shape of the tip of the nose can be changed to correct any existing deformity. Pieces of cartilage or bone may be removed from or added to the nose to change its shape. Sometimes the wall that separates the nose into right and left (nasal septum) is twisted. We may need to correct it at the same time. The combined operation is called septorhinoplasty.

Photographs will be taken to allow a record to be kept in your notes of how your nose looked before surgery, and to allow us to plan your operation.

Rhinoplasty and Septorhinoplasty are usually performed with you asleep and depending upon the correction required, it can take 3-5 hours. Cuts are made inside your nose. Occasionally a small cut on the skin between the nostrils or at the base of the nostrils may be necessary. The skin of your nose is gently lifted off the bone and cartilage underneath. Pieces of bone and cartilage can be removed from or added to the nose to smooth out any bumps or dips.A hairline fracture may be made in the nasal bones to allow the surgeon to change the shape of the nose. If this is done, you will have special dressing or plaster for 2-3 weeks on your nose to help the bones heal. It is important that you take precaution against displacing this dressing/plaster.

At times we may need to put a dressing in each side of your nose to keep things in place and prevent bleeding. The dressings are called ‘packs’, and they will block your nose up so that you have to breathe through your mouth.

We may take them out the morning after your operation. You may get a little bit of bleeding when the packs come out – this will settle quickly.

Sometimes we put small pieces of plastic in your nose to prevent scar tissue from forming. These are called ‘splints’ and we will take them out after a week. You will have a temporary splint on the outside of the nose for two to three week. This should be kept dry.

Not really, but sometimes the front of your nose can be a bit tender for a few weeks.

After the operation we may give you some drops or spray to reduce any bleeding and to clear up your nose. It may take up to three months for your nose to settle down and for your breathing to be clear again. Try to stay away from dusty or smoky places.It is important that you stop smoking.

There will be some stitches inside your nose - these will dissolve and usually fall out by themselves.

  • Do not blow your nose for about a week, or it might start bleeding.
  • If you are going to sneeze, sneeze with your mouth open to protect your nose.
  • You may get some bloodcoloured watery fluid from your nose for the first two weeks or so – this is normal.
  • Your nose will be blocked both sides like a heavy cold for 10-14 days after the operation.
  • We may give you some drops or spray to reduce bleeding and to help clear your nose.
  • Try to stay stay from dusty or smoky places. Do NOT smoke.
  • There will be some stitches inside your nose these will dissolve and fall out by themselves.
  • You may have some bruising and selling around your nose and eyes for one to two weeks.
  • Sleeping upright with extra pillows for a few days helps
    • Folloing rhinoplasty or septorhinoplasty, the skin of the nose is very sensitive to the sun. It is important to wear strong sunscreen and a hat for at least six months.
    • The nose may feel a little stiff and numb for up to three months, particularly around the tip
    • swelling may take up to a year to settle at which time the final results of surgery may be judged.

You can expect to go home the day after your operation. Sometimes it is possible to go home the same day. You should rest at home for at least a week. Most people need one to two weeks off work, especially if their work involves heavy lifting or strenuous activity.

You should not play sports where there is a risk of your nose being knocked for six weeks.

The most common ‘complication’ from any cosmetic surgery is that it might not meet your expectation. In most cases, the appearance of the nose is improved, however this improvement may be less than or different to your expectation. It is very important that you define your expectation from surgery as clearly as possible before the operation so that I can tell you if that is achievable and to what degree. Sometimes your nose can bleed after the operation, and we may have to put packs into your nose to stop it. This can happen within the first 6 – 8 hours after surgery or up to 5 – 10 days after surgery. Very rarely you may need to have another operation to stop the bleeding. Infection in your nose is rare after this operation but if it happens it can be serious, so you should see me if your nose is getting more and more blocked and sore.

Rarely, the operation may leave a hole in your septum inside the nose going from one side of your nose to the other. This can cause a whistling noise when you breathe, crusting with blockage or nosebleeds. Most of the time it causes no problems at all and needs no treatment. If necessary, we can use special button to close this or further surgery can be carried out to repair a hole in the septum.

Very rarely, you can have some numbness of your teeth, which usually settles with time.

Everybody’s nose and face is different, so it may not be possible to make your nose look exactly like the perfect nose you wish for.

The thickness of the skin is important in how much better the nose will look after rhinoplasty and in what can be done. If the skin is thin, it makes bumps or hollows in the nose difficult to hide.

If it is thick not all changes that can be made on the inside will show up on the outside. My main aim will be to produce a nose that looks natural. However, it is NOT possible for any surgeon to say exactly how your nose will look after your operation. It is important that you discuss your expectations clearly with me in detail.

The appearance of your nose will continue to change for more than 6-12 months after the operation dependent on what has been done and how the bone, cartilage and soft tissue of your nose heals. It is important for you to realize this long delay before you get a stable appearance of your nose.

Ninety to ninety-five out of one hundred patients are happy with the results of their operation. About five to ten out of one hundred patients need further operations in the future to further adjust the shape of the nose.

CLINIC INFORMATION

Northampton General Hospital
NHS Hospital
Northampton NN1 5BD
Tel - 01604 634700
BMI Three Shires Hospital
Private Hospital
Northampton NN1 5DR
Tel - 01604 620311

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For private consultation please contact
Tel – 07504 818402