01 — The procedure

Shape,and breath.

What rhinoplasty can change, how it is done, and the risks worth understanding before you decide anything.

A woman's profile in low light against a dark background

01.1 — What can be refined

Four variables.

A

Bridge

Reducing a hump, straightening a deviation, or narrowing the bony vault.

B

Tip

Definition, projection and rotation of the tip cartilages.

C

Width

Nostril and base width, in proportion to the eyes and mouth.

D

Breathing

Septum, valves and turbinates — often corrected in the same operation.

01.2 — Approach

Open or closed.

Open

A small incision across the columella gives direct view of the cartilage. Often chosen for complex tip work and revisions. Leaves a fine scar that usually fades well.

Closed

All incisions inside the nose, with no visible scar. Suited to selected changes, with less direct exposure for the surgeon.

Your surgeon recommends an approach after examining you. Neither is better in every case.

01.3 — On the day

How it runs.

  • 01

    Anaesthesia

    Usually under general anaesthesia, with an anaesthetist present throughout.

  • 02

    Surgery

    Often between two and four hours, depending on what is being changed.

  • 03

    Splint

    An external splint protects the new shape, usually for about a week.

  • 04

    Home

    Many patients go home the same day or after one night, with a responsible adult.

  • Marble sculpture of a face in dramatic side light

    01.4 — Honesty

    The best outcome starts with realistic expectations. We will tell you what surgery can do, what it cannot, and when it is not the right choice.

    01.5 — Risks

    Worth weighing.

  • Swelling and bruising, sometimes lasting weeks
  • Bleeding or infection
  • Temporary numbness of the nose or upper lip
  • Changes in breathing
  • Asymmetry, or a result that differs from what you hoped for
  • The need for a further (revision) operation
  • Risks related to anaesthesia
  • Your surgeon will go through the risks that apply to you, in writing, before you consent.