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Rhinoplasty or Nose Surgery


We understand that considering any surgical procedure is a significant decision, and we're here to provide you with comprehensive information about rhinoplasty, also known as nose reshaping surgery. Whether you're seeking to enhance your appearance, correct a functional issue, or achieve both, our team is dedicated to guiding you through every step.

Why Rhinoplasty?

Rhinoplasty is a surgical procedure that aims to reshape the nose to achieve a more harmonious facial balance and address functional concerns. The main reasons individuals opt for rhinoplasty include:

  • Cosmetic Enhancement: Many patients seek rhinoplasty to improve the aesthetic appearance of their nose. This can involve altering the size, shape, angle, or proportions of the nose to achieve a more balanced facial harmony.

  • Functional Improvement: Rhinoplasty can also address functional issues such as breathing difficulties caused by a deviated septum or other structural abnormalities. Combining functional correction with cosmetic improvement is known as septorhinoplasty.

When considering nasal surgery, it's important to understand the distinction between septorhinoplasty and rhinoplasty. While both procedures involve the nose, they serve different purposes and are performed to address varying concerns.

When is Rhinoplasty Recommended?

Rhinoplasty is recommended for patients who are primarily concerned with improving the appearance of their nose. Here are instances where a rhinoplasty might be preferred:

  • Cosmetic Enhancement: If your primary goal is to alter the size, shape, angle, or proportions of your nose for aesthetic reasons, a rhinoplasty may be the ideal choice.
  • No Functional Issues: When there are no significant breathing difficulties or functional problems, and your concerns are solely related to the nose's appearance, a rhinoplasty procedure suffices.
  • Minimal Structural Changes: If the desired changes are minimal and focus on the external appearance of the nose, a rhinoplasty without septal correction might be appropriate.

Septorhinoplasty: Functional and Aesthetic Improvement

What is Septorhinoplasty?

Septorhinoplasty is a combination of two procedures: rhinoplasty and septoplasty. This surgical approach addresses both the aesthetic appearance of the nose and functional issues related to the nasal septum. The nasal septum is the cartilage and bone that separates the two nostrils. Deviations or abnormalities in the septum can lead to breathing difficulties, snoring, and other functional problems.

When is Septorhinoplasty Recommended?

Septorhinoplasty is recommended when a patient presents with both cosmetic concerns and functional issues. Here are scenarios where septorhinoplasty might be preferred over a simple rhinoplasty:

  • Functional Breathing Difficulties: Individuals experiencing difficulty breathing due to a deviated septum, nasal valve collapse, or other structural issues benefit from septorhinoplasty. This procedure corrects these functional problems while simultaneously addressing cosmetic concerns.
  • Combined Correction: If you're seeking both aesthetic improvement and functional enhancement, septorhinoplasty is the optimal choice. This procedure ensures that your nasal structure is not only visually appealing but also functions optimally.
  • Trauma or Injury: Patients who have experienced nasal trauma resulting in both aesthetic changes and functional problems may require septorhinoplasty to restore the nose's appearance and functionality.

Choosing the Right Procedure for You

Ultimately, deciding between septorhinoplasty and rhinoplasty depends on your specific concerns and goals. During your consultation with our experienced plastic surgeon, we will thoroughly assess your nasal anatomy, discuss your expectations, and recommend the most suitable approach to achieve the desired outcomes.

Remember that both procedures are personalized to your needs, and our team is dedicated to guiding you toward a decision that ensures both cosmetic enhancement and functional improvement, leading to a nose that not only looks beautiful but also functions optimally for your overall well-being.

Preparing for Your Consultation

Preparing for a consultation with a plastic surgeon for nasal surgery, whether it's rhinoplasty or septorhinoplasty, involves a comprehensive evaluation of your medical history and current health status. Depending on your individual circumstances, certain tests may be recommended to ensure your safety and suitability for the procedure. Here are some of the tests that might be needed:

  • Medical History Review: Your surgeon will ask you about your medical history, previous surgeries, allergies, and any existing medical conditions. This information helps assess potential risks and tailor the surgical plan to your specific needs.
  • Physical Examination: A thorough physical examination of your nasal structures and overall facial features is essential. This examination helps the surgeon understand the existing anatomy and formulate a personalized surgical approach.
  • Nasal Endoscopy: This test involves using a flexible, thin tube with a light and camera (endoscope) to examine the inside of your nose and nasal passages. It helps identify any structural abnormalities, blockages, or inflammation that could impact breathing and surgery planning.
  • Septal Deviation Assessment: For individuals considering septorhinoplasty, a deviated septum can be assessed through both physical examination and imaging. Imaging methods might include nasal endoscopy, computed tomography (CT) scans, or magnetic resonance imaging (MRI).
  • Imaging Studies: Depending on the complexity of your case, your surgeon might recommend imaging studies like CT scans or MRIs. These scans provide detailed 3D images of your nasal structures, aiding in surgical planning and identifying underlying issues.
  • Breathing Assessment: If you're experiencing breathing difficulties, nasal obstruction score, pulmonary function tests might be recommended to assess your lung capacity and the extent of any breathing restrictions.
  • Blood Tests: Basic blood tests, such as complete blood count (CBC) and blood clotting tests (PT/INR), may be conducted to evaluate your overall health and potential bleeding risks during surgery.
  • Allergy Testing: If you have a history of allergies, allergy testing might be suggested to identify potential allergens that could impact your healing process.
  • Cardiovascular Assessment: Depending on your age and medical history, an electrocardiogram (ECG or EKG) might be performed to assess your heart's health and ensure you can safely undergo anesthesia.
  • Medication Review: Your surgeon will inquire about any medications, supplements, or herbal remedies you're taking, as some of these might need to be adjusted before surgery.
  • Smoking Assessment: If you're a smoker, your surgeon may strongly advise quitting before the surgery due to its impact on healing and recovery.
  • Photos and Documentation: Your surgeon will likely take photographs of your current facial features from different angles. These photos serve as a reference for planning and evaluating the surgical results.

Risks of Rhinoplasty and Septorhinoplasty

Rhinoplasty is a surgical procedure that offers the potential to enhance both the aesthetic appearance and functional aspects of the nose. However, like any surgical intervention, it carries certain risks that patients should be aware of before making an informed decision. It's important to discuss these risks thoroughly with your surgeon during the consultation process. Here's a comprehensive overview of the potential risks associated with rhinoplasty surgery:

  1. Anesthesia Risks: Anesthesia is an integral part of surgery. While rare, there can be adverse reactions to anesthesia, ranging from mild allergic responses to more severe complications like aspiration or an adverse reaction to the anesthetic agents. A certified anesthesiologist will closely monitor you during the procedure to minimize these risks.

  2. Bleeding: Post-operative bleeding is common after rhinoplasty due to the nasal tissues' vascularity. In some cases, excessive bleeding (hematoma) might occur, which could necessitate additional surgical intervention to address the bleeding source and prevent complications.

  3. Infection: Surgical sites are vulnerable to infection. Although the risk is low, infections can occur post-rhinoplasty. Antibiotics and proper wound care are typically administered to minimize this risk.

  4. Scarring: Rhinoplasty involves incisions, which can lead to scars. Surgeons aim to make incisions inconspicuous, but individual healing and scar formation can vary. Scarring might be more noticeable in open rhinoplasty due to the external incision across the columella.

  5. Unsatisfactory Aesthetic Outcome: Achieving the desired aesthetic outcome might be challenging due to factors such as tissue healing, skin thickness, and individual anatomy. While surgeons strive to meet patient expectations, the final results might differ slightly from the initial vision.

  6. Nasal Obstruction: Swelling, scar tissue, or changes in the nasal structure could lead to temporary or even permanent nasal obstruction. This risk is particularly relevant when addressing the nasal septum or internal structures.

  7. Nasal Asymmetry: Achieving perfect nasal symmetry is intricate. There's a risk that the final result might display slight asymmetry, requiring possible revision surgery.

  8. Altered Sensation: Temporary or permanent changes in nasal sensation are possible due to nerve disruption during surgery. The nose might feel numb, tingly, or hypersensitive.

  9. Skin Irregularities: Skin irregularities, such as uneven contours, bumps, or depressions, could emerge post-surgery. Skin might not always conform perfectly to the new underlying structure.

  10. Perforation of the Nasal Septum: Manipulating the nasal structures can lead to septal perforation, a hole in the septum. This complication may impact breathing and require corrective surgery.

  11. Cartilage and Bone Problems: In rare cases, cartilage and bone grafts might not heal properly or might shift over time, necessitating revision surgery.

  12. Delayed Healing and Wound Breakdown: Some patients might experience delayed wound healing, particularly if they have underlying health issues. In extreme cases, wound breakdown could occur, necessitating additional treatment.

  13. Emotional and Psychological Impact: Rhinoplasty is not only physical but also emotional. Patients might experience psychological discomfort due to changes in their appearance, and it's important to be mentally prepared for the recovery process.

These risks should be considered in the context of the potential benefits of rhinoplasty. A skilled and experienced surgeon will take comprehensive precautions to minimize these risks and provide you with a safe and successful surgical experience. Open communication with your surgeon, adherence to pre-and post-operative instructions, and realistic expectations are essential elements for achieving a positive rhinoplasty outcome.


Surgical Options and Procedure

  • Open Technique: This involves a small incision across the columella (the strip of tissue separating the nostrils). There is a slightly higher risk of visible scarring with this method. This provides greater access to the nasal structures, making it suitable for complex cases that require significant reshaping.
  • Closed Technique: Incisions are made inside the nostrils, eliminating visible scarring. With incisions confined to the nostrils, this technique is ideal for minor adjustments and requires less recovery time.This technique is suitable for less complex cases. 
  • Anesthesia: Rhinoplasty can be performed under general anesthesia, ensuring your comfort throughout the procedure.

Recovery and Aftercare

  • Immediate Post-op: You'll be closely monitored as you awaken from anesthesia. Some discomfort, swelling, and bruising are normal.
  • First Weeks: Swelling and bruising will peak in the first few days, gradually subsiding over the next couple of weeks.
  • Nasal Splints: These may be placed to support the new nasal structure and removed within a week or two.
  • Follow-up Appointments: Regular visits allow us to monitor your healing progress and address any concerns.
  • Results: While visible improvement is noticeable within a few weeks, final results may take a year to fully develop as swelling continues to recede.