Rhinoplasty

The procedure

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 shape.

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 things further.

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 information.

How long does the surgery take?

The operation itself may take between 45-180 minutes, depending upon the complexity of the operation in your individual case.

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 resumed?

It is important to take things gently after a rhinoplasty:

  • Sleep with 2-3 pillows to ensure your head is elevated after the operation
  • 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.

Open septorhinoplasty

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.

 "...the end result was just as I wanted and more, I would strongly recommend Mr Marc Pacifico"  Polly M - Eastbourne