aka: nose job, nose shaping, nose reshaping, nose surgery
What is it?
Best known as a ‘nose job’, rhinoplasty is one of the oldest cosmetic surgery procedures and aims to changes the shape of the nose. Surgeons can also reposition the bridge of the nose, remove unsightly bumps, change the shape of the nostrils and alter the tip of the nose.
What to expect?
Surgery takes one and a half hours and is normally under general anaesthetic.
You’ll wake up with cracking black eyes and a nose full of cotton wool balls. A foil splint holds everything together as it heals, and stays on for at least one week. The stuffy nose feeling lasts two weeks. Once the swelling goes down you’ll glimpse your new profile but your new nose will take around six months to settle down.
Around £5000, (including consultations (meetings with the surgeon before the operation), surgeon fees, anaesthetist fees, hospital fees and aftercare.) The cost of ‘revisions’ are normally higher.
Risks and side effects
Botox is considered one of the safest injectables on the market, and the biggest risks come from using an inexperienced practitioner who may inject too much, causing your face to become immobile, and eyebrows and eyes to droop.
Other than frozen face and droopy eyelids, the most common reported side effects are headaches, respiratory infection and flu-like symptoms. Minimize risks by checking your practitioner’s qualifications and experience.
Risks and side effects
Nasal obstruction – difficulty breathing – is one of the most common side effects of rhinoplasty. Modern techniques, accurate analysis and diagnosis and a good surgeon help minimize or avoid any breathing problems. Other post op complications include excessive nose bleeding – you can lower the risk by avoiding anti-inflammatory medications beforehand.
Scarring of the tissue between the nostrils normally heals well, but scars on the inside of the nasal passages can block the airway. Deformity – due to tip distortion (piggy effect), uneven cartilage, over or under resection of the bridge – are risks of rhinoplasty, as is septal perforation (which is normally not a significant problem).
A year after surgery around 5 per cent of patients are not happy with the aesthetic result of their rhinoplastic surgery and require further surgery.
Mr David Crawford, Consultant Plastic and Cosmetic Surgeon, BMI Healthcare
“The most common misconception about rhinoplasty is that a large nose can be converted into a small nose. It’s also difficult to predict exactly how your nose shape will appear after healing. A hump can come back or nasal bones may thicken during the healing process, which is why it’s very important to have realistic expectations.
What to ask your surgeon: How many nose jobs do you perform each week?
"Patients should also acknowledge that there are, as with all surgery, some risks involved. Breathing may be reduced, by making the nose smaller. This is usually temporary, but can occasionally be permanent. With rhinoplasty there is approximately a one in 10 revision rate for minor imperfections even in the most experienced of surgeons. This rate will rise in surgeons with less experience.”