Nose Reshaping (rhinoplasty)

The size and the shape of the nose are some of the most defining characteristics affecting the overall appearance of the face. You may feel your nose is too prominent, which not only has an impact on your profile but also your confidence.

A rhinoplasty will change and refine the prominent features of the nose to create a more balanced look.

Rhinoplasty Procedure

Rhinoplasty is carried out under general anaesthetic and usually takes between one and two hours.

Incisions are typically made inside the nostrils to conceal the scars. In more complex situations an open approach may be necessary, leaving a small scar at the base of the nose.

After surgery, a splint is applied and the nostrils are lightly packed.

Rhinoplasty Recovery

An overnight stay in hospital is required following rhinoplasty. The splint is removed after one week. There will be swelling and bruising around the eyes which may take two weeks to settle down. It is important to know that a degree of swelling will remain around the bridge and tip of the nose which may take up to twelve months to settle down completely: only after this will you be able to see the final results.

Rhinoplasty Risks

Complications from rhinoplasty are rare, but can include reactions to the anaesthetic, bleeding, infection, numbness, irregularities, and results not meeting with expectations. Repeat surgery is possible but should never be rushed into.

Mr Prinsloo will explain how the possible risks will apply to you.

Due to the Data Protection Act etc. our supply of pre/post operative pictures is currently limited.

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Nose Reshaping (Rhinoplasty)

Description

Surgery to reshape the nose by altering its size, angle, curves and proportions. It can straighten a lump on the bridge and refine the nasal tip to make it look more natural and in proportion with the rest of the face.

Who are candidates?

  • If the nose is prominent as a result of injury or developmental defects
  • If you feel your nose is unattractive and not in balance with other facial features
  • If you have realistic expectations about the outcome of nose reshaping

How is it done?

  • Open Rhinoplasty: when changes are required to the tip and dorsum of nose. Incisions are placed inside nose and across the columella (straight portion between nostrils).
  • Standard Rhinoplasty: all incisions are inside the nostrils and changes are made to bones, cartilages and soft tissues as needed.

Length of surgery

1 to 2 hours

Hospital stay

Overnight stay

Anaesthesia

General anaesthetic

Time to heal

  • Packing inside nose for 24 hours
  • External splint on nose for one week
  • Bruising and swelling subside in 1-2 weeks
  • Return to work in 2 weeks
  • Normal activity in 4-6 weeks
  • Final swelling will resolve in 6-12 months

Risks

Risks are rare but may include:

  • Bleeding, haematoma (blood clot), infection, asymmetry, alteration in sensitivity, scarring, breathing problems, complications related to anaesthestic (DVT, PE and chest infection) and results not meeting with expectations
  • Repeat surgery is possible, but should never be rushed into

Duration of results

Long lasting, but ageing may affect results overtime.

Pro’s

  • Refinement of prominent features to create a more balanced look

Con’s

  • May take up to twelve months for swelling to settle in order to get the final result

"Mr Prinsloo, We just wanted to say again "Thank You" for the treatment you carried out on our daughter R. You have changed her life for the better. It is lovely to see our daughter so happy, confident able to look in the mirror and be happy with herself. You have a wonderful talent! R also thanks you from the bottom of her heart!! All the best, Mr & Mrs R and R."

January 2011 - Rhinoplasty

"Dear Mr Prinsloo, I felt that I had to write to express my grateful thanks. Today was the first time that I had experienced "joy" in the last 10 months. My new nose is such an improvement. I was crying with happiness. I know that I am still "me" but I already feel so much better about myself. With my eternal Thanks."

BN - April 2010 - Rhinoplasty

How is rhinoplasty performed?

Rhinoplasty is carried out under general anaesthetic and usually takes between one and two hours. Incisions are typically made inside the nostrils to conceal the scars. In more complex situations an open approach may be necessary, leaving a small scar at the base of the nose. After surgery, a splint is applied and the nostrils are lightly packed.

Who is suitable for rhinoplasty?

Men and women who are dissatisfied with the size and shape of their nose
If the nose is prominent as a result of injury or developmental defects
If you feel your nose is unattractive and not in balance with other facial features
If you have realistic expectations about the outcome of nose reshaping
If there is a bump on the bridge of the nose
If the nasal tip droops
If the nose is off-centre or asymmetrical
The nose continues to grow until the age of about 16 years. Therefore, most surgeons recommend postponing surgery until at least this age

How long will the results of your rhinoplasty last?

The result of rhinoplasty is permanent. However differential skin thicknesses and irregularities in internal scarring can all affect the outcome, and thus rhinoplasty does carry with it a slight higher revision rate than most other procedures. Luckily, however, these revisions are still relatively uncommon, and in the majority of cases minor. If a revision surgery is needed it is more likely to take place after the healing process is complete.

Copyright, Dan Prinsloo Cosmetic Surgery, 2013

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