Nose reshaping (Rhinoplasty)



Nose Reshaping (Rhinoplasty) is the surgical treatment to modify the size and shape of the nose. The nose surgery is performed at the clinic under general or local anesthesia. The hospital is usually chosen for the patient’s comfort and safety. Rhinoplasty can reduce or increase the size of your nose, change the shape of the tip or the bridge, narrow the span of the nostrils, or change the angle between your nose and your upper lip.

If the strength or structure of the nose needs strengthening, a small piece of the patients' own cartilage or synthetic implants may be used by the surgeon for reinforcement.

During surgery the skin of the nose is separated from the bone and cartilage, which is then sculpted to the desired shape. In some instances, it may be necessary to alter the positioning of the bones in the nose to make the nose straighter or narrower. To reduce a hump on the nose, a surgeon will remove excess cartilage and bone and then refine the remaining tissues with an instrument similar to a nail file. Wide bony portion of nose is corrected by breaking the bones of the nose and repositioning them inward. If the nostrils are too wide small wedges of skin from their base are removed and brought closer together. Angle between nose and lip is corrected by trimming the septum.

Rhinoplasty generally lasts one to three hours. Internal tubes or packing will likely be placed inside your nose and a splint or bandages placed on the outside to support and protect the new structures during initial healing.

Pain or discomfort after the surgery can be controlled with popular painkillers. The swelling and bruising around the nose and the eyes smooth out after 2-3 weeks. It is advisable to apply ice packs or cold compresses and to keep the head and neck elevated. The splint is removed on the 7-10 day after the surgery. However, for another 14 days, the patient should apply the splint at night (to protect the nose from any possible injury and to minimize the swelling). A final, completely stabilised result may be expected after 6–12 months.