Rhinoplasty surgery aims to improve the appearance
of your nose. The surgery aims to reshape the nose to a more
aesthetic appearance, in-keeping with your overall facial
What does it involve?
The procedure is performed under a general
anaesthetic (with you asleep) usually as a day case (in and out of
hospital in the same day) or with an overnight stay. The operation
is either performed with incisions on the inside of your nose alone
(a closed rhinoplasty), or with an additional cut on the columella
(the middle part of the nose separating your nostrils - an open
rhinoplasty). The skin of the nose is separated from the underlying
cartilage and bone - these are then altered to the desired shape
prior to the skin being redraped over them. It is complex
3-dimensional surgery that rebuilds your nose from the inside. See here › to watch Mr Pacifico explaining
What are the benefits?
Rhinoplasty surgery will improve the appearance of
your nose and often improves your breathing. A rhinoplasty
can straighten your nose, correct a hump, change the shape and size
of the tip of your nose, narrow your nose as well as achieve other
changes. Watch Mr Pacifico here › for more
How long does the surgery take?
The operation itself may take between 45-180
minutes, depending upon the complexity of the operation in your
What is the recovery period?
Your nose will be swollen initially - most of the
swelling resolves over 6-weeks (and you will feel quite bunged up
initially), but it takes 6-months to 1-year for all the swelling to
go down. You will initially have bruising around the eyes which
resolves over the first 2-weeks after the operation. There may be
some minor nose bleeding after the operation. You will wear a nasal
splint for 1-2 weeks after your operation.
How long before daily activities may be
It is important to take things gently after a
- Sleep with 2-3 pillows to ensure your head is elevated after
- Do NOT bend down for 2-4 weeks after your surgery - it is
important to keep your head elevated whenever possible.
- Do NOT blow your nose for 2-4 weeks after the surgery, and
sneeze through your mouth instead of your nose.
Most people can return to sedentary activity after
2-weeks, but should avoid strenuous activity and crowded situations
for 4-6 weeks.
What are the success rates?
Rhinoplasty surgery has a good success rate,
although up to 15% of people will require further surgery to
improve or adjust their result. It is important that you realise
that surgery can never guarantee the perfect result, although the
appearance of your nose should be improved.
Patient of Mr
Pacifico who underwent an open septorhinoplasty. She complained of
a dorsal hump, a droop to the tip of the nose, a bulbous and
asymmetric tip as well as a dynamic tip (a tip that moved down on
smiling). Correction involved addressing each of these areas
individually, including surgery from inside the upper lip to
reposition the muscles to prevent tip movement. The post-operative
photographs show the improvement in the shape of her nose from both
frontal and side views, as well as a more pleasing shape to
her upper lip.
What are the possible complications?
Complications after a rhinoplasty include nasal
infection (under 1%); irregularities and asymmetries of the nose
that will require further surgery; changes in the colour or texture
of the skin of the nose (such as the appearance of small blood
vessels); the tip of your nose may remain numb for quite some time,
and the texture of your nose may feel quite stiff for some months
after surgery. Some people experience an alteration in their sense
of smell. Rarely, there may be damage to the septum (the part of
your nose that separates your nostrils on the inside) resulting in
a hole between them, known as a fistula. This may require further
treatment. Heavy nose bleeds following surgery are uncommon, but if
this occurs you should contact the hospital immediately.