Rhinoplasty is the generic term for an operation by a sinus specialist to re-shape the nose - in common parlance 'a nose job'. When combined with a procedure to straighten the septum and restore the nasal airway the procedure is described as a 'septorhinoplasty'
Concerns regarding nasal appearance (such as a large nose, poor nasal profile or ill defined tip) can be addressed by rhinoplasty techniques. Equally factors which compromise the nasal airway (such as deviation of the nasal septum, drooping of the nasal tip or a tendency for the nostrils to collapse on deep inspiration) can be corrected with nose plastic surgery. Very often functional and cosmetic problems will co-exist.
We now have a better understanding of the structural supports of the nose and how the final result slowly evolves over a period of months as the delicate nasal tissues heal. Over-resection of tissues to give an immediate impact will eventually give an unnatural appearance and often causes functional problems as well. My philosophy is to maintain structural integrity and to give a natural unoperated appearance in harmony with the rest of the face. The use of digital-image-manipulation software is used to demonstrate the likely outcome of nose plastic surgery.
Rhinoplasty is sometimes erroneously compared with sculpture. In fact it's more like pitching a tent! Great care has to be taken to address the underlying structural elements so that the skin and soft tissues will reshape appropriately. Clearly the size, shape and consistency of the underlying bony and cartilaginous structural elements and the quality and thickness of the skin do impose limitations on what can be achieved and these will be discussed at your consultation. Nonetheless it is generally possible for a nose specialist doctor to:
This is clearly a very personal matter. If you have a particular deformity which is impacting on your self confidence or you have difficulty breathing through your nose it is highly likely that skilfully performed noise plastic surgery can help. This is something that I will be very happy to discuss.
After establishing exactly what your concerns are and taking a comprehensive medical history I will want to examine your nose to correlate those concerns with the underlying anatomy. This may include an examination of the inside of your nose and an assessment of the airway and tip support.
This is extremely important because factors such as skin type and nasal airway do influence the techniques which should be employed in your rhinoplasty. I will then discuss any nose plastic surgery that I think might be necessary with you and demonstrate what I think can be achieved using the latest digital image manipulation software.
I am very fortunate in having a large number of patients who are happy for their pre and post-operative images to be shown. This means that you can see the actual results achieved for patients with similar concerns to your own.
This is not absolutely necessary but as a sinus surgeon I like to work closely with your doctor, and providing you are agreeable, will write to them after the consultation.
If your concerns are purely cosmetic you will be invoiced a nominal fee for your nose plastic surgery. However if there is a functional problem or you have recently suffered nasal trauma your medical insurance will cover your outpatient consultation. If surgery is required a written quotation will be sent to you, based on your individual treatment needs. In most cases we can offer a 'Fixed Cost Care' fully inclusive package price for your operation and hospital stay. If you have any concerns regarding rhinoplasty cost, again please feel free to ask.
I have a very busy practice and receive a lot of referrals from colleagues. Experience as a sinus surgeon has taught me that a superlative technical outcome alone does not guarantee patient satisfaction. A successful outcome is much more likely when patient expectations and my assessment of the likely outcome of surgery coincide. Digital-image-manipulation software has greatly aided these discussions. As this is elective surgery patients are also declined when serious co-existing medical conditions make general anaesthesia hazardous.
You will generally spend one night in hospital following a rhinoplasty because of the possibility of bleeding. The nose plastic surgery is not painful but you will feel blocked up (like with a cold) for a week to ten days and your nose will run. There will also be some bruising beneath the eyes which can be camouflaged with makeup. If your job is physically demanding you will require two weeks off but if you wanted you would be able to do paperwork after two or three days.
With meticulous technique from a sinus specialist, nasal packing is generally not required after a rhinoplasty although you will have a light dressing at the front of the nose which is removed when you are awake and a nasal splint which maintains the position of the nasal bones and is left on for a week.
After your plastic surgery of the nose, I will review you at one week to remove the nasal splint. In most cases I will see you again two months later and one year after surgery. If you have any concerns additional appointments will be made.