Facial Surgery

Rhinoplasty / Rhinoseptoplasty

Why have an Rhinoplasty?

A Rhinoplasty not only alters the shape and proportion of the nose, but may also enhance the appearance of the whole face.

The fact is everyone is self-conscious about particular aspects of their appearance and as we mature physical changes become even more apparent. Many people are unhappy with the shape of their nose. It may have a hump, be too long or wide. All of these conditions can normally be improved with a surgical procedure called a Rhinoplasty. The surgery can be performed together with a Septoplasty (to improve breathing problems or nose deviation)

What is involved?

During your consultation I will try to determine the changes that you wish to make to your nose. I will then discuss with you the improvements that could be made and develop an individual surgical plan to suit your particular needs.

I can not guarantee final size and shape. It is important that the patient accepts the limitations that a Rhinoplasty can offer on each case.

A Rhinoplasty could provide significant enhancement to the appearance of the nose for both men and women and is performed under general anaesthetic and will require an overnight stay in hospital.

After your surgery is completed, you will have a plaster cast that is applied in the operating theatre. It is important that this plaster cast is not removed for a period of at least 7-10 days.

Rhinoplasty Aftercare

After surgery

After surgery is completed, a plaster cast is placed on the nose in the operating theatre. It is important that this is not removed for a period of at least 7 days. The next morning the pain will inevitably have eased considerably. Any remaining discomfort can be controlled by medication. Frequently patients have blocked nose after surgery.

Drink plenty of water in the first 24hrs to replace fluid lost during the procedure.

A Rhinoplasty requires an over-night stay at the hospital so your immediate recovery can be closely monitored by a member of our medical team.

Your recovery

Recovery depends greatly on the extent of the procedure. Expect to feel sore and swollen for several weeks. THE FINAL RESULT OF THE SURGERY TAKES ABOUT 2 YEARS.

Strenuous activity should be avoided for 4-6 weeks. Although most of the bruising and swelling usually disappears within three weeks, some patients may experience swelling for longer.

Post-op appointments

Post-operative follow-up is of paramount importance. Each patient undergoing Rinoplasty surgery will be given post operative appointments for wound management and suture removal. Post-operative instructions are vital and we consider it very important that you adhere to them. Failing to follow these guidelines and attend your appointments can adversely affect the outcome of surgery and put patient safety at risk. Following Rhinoplasty, the patient is asked to return on specified appointments fixed by me. Occasionally it may be necessary to return more regularly than those stated.

Rhinoplasty Risks & Conditions


Smoking reduces the blood supply to the wound and can impede the healing process. Each cigarette further constricts acutely the blood vessels. It is highly recommended to stop smoking completely 4 weeks prior to surgery and 2 weeks after; no nicotine patches or chewing gum are allowed. The risk of infection and complications in general slowly decreases if the patient stops smoking, but still remains higher compared to a non-smoker.


A Rhinoplasty from within the nose, making their incision inside the nostrils (closed approach). But most frequently is done as an "open" procedure, especially in more complicated cases; it consists in a small incision across the columella (the vertical strip of tissue separating the nostrils).

Alar base reduction scars are in the crease of each nostril.

I will discuss the most suitable treatment during your consultation.

Haematoma (bleeding) - very rare in Rhinoplasty

A haematoma is a collection of blood. The risk is higher during the first 24 hours following any surgical procedure, but it can still occur at a later stage. In case of a major collection of blood it may be necessary for patients to return to theatre for a second operation to remove this collection, although extremely rare, excessive bleeding may lead to a blood transfusion and can be potentially a life threatening complication.

The risk of bleeding slowly fades in 3-4 weeks as the healing continues.

We recommend that you refrain from any heavy lifting and strenuous activity during this period. In other hands, patients that had rhinoplasties develop fragility inside the nose that can cause small bleeding anytime in their lives, it is called epistaxis.


Temporary loss of sensation.

Swelling and bruising

Some swelling and bruising will be present after surgery. Usually this subsides in a few weeks, but can last several months post-operatively. Bruising can be extreme around the eyes. Swelling will take months to subside. THE FINAL RESULT OF THE SURGERY TAKES ABOUT 2 YEARS.

Infection - very rare after Rhinoplasty

All surgery carries the risk of infection. In order to reduce it, patients are given antibiotics intravenously during the operation.


Most patients will not experience pain following surgery, this certainly depends on the pain threshold of the patient. Painkillers are given after the surgery to control the discomfort, a further supply is dispensed at the time of your discharge. It has been reported that pain may appear during this period and can become permanent, although this is a rare occurrence.