What is a rhinoplasty?

Rhinoplasty is the generic term for an operation 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’

Why have a rhinoplasty?

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 rhinoplasty techniques. Very often functional and cosmetic problems will co-exist.

What’s new in rhinoplasty surgery?

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 the rhinoplasty and to facilitate discussions about the areas of concern.

Surgical osteotomes

Which problems can be addressed by rhinoplasty?

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 ‘redrape’ 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  to:

  • Straighten the nose and improve the nasal profile (either by removing a hump or by filling depressions with sculpted cartilage harvested from within the nose)
  • Improve the size and shape of the nasal tip and its relation to the rest of the nose
  • Adjust nasal breadth to achieve a more harmonious appearance
  • Alter nasal length
  • Improve the nasal airway

Is Cosmetic Rhinoplasty right for me?

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 a skilfully performed rhinoplasty can help. This is something that I will be very happy to discuss.

What happens during a consultation?