Nose Surgery (Rhinoplasty)

Rhinoplasty techniques

Nose surgery is performed using two main approaches: closed and open technique.

• Closed rhinoplasty

All incisions are made inside the nostrils, leaving no visible external scarring. This technique is suited to more minor corrections where the overall nasal structure does not need to be changed.

• Open rhinoplasty

An incision is made across the columella — the small strip of tissue between the nostrils. This approach gives the surgeon better visibility and more precise control when performing more complex corrections. The scar in this area is generally minimal and becomes barely noticeable over time.

The surgeon selects the appropriate technique based on the nasal structure, the extent of the changes desired, and individual characteristics.

Types of nose surgery

Nose surgery varies depending on the area being corrected and the goals of the procedure. The most common types include:

Turbinate reduction surgery (conchoplasty)

Turbinate reduction surgery (conchoplasty) is a functional nasal procedure in which enlarged nasal turbinates are reduced in size. It is used in cases of obstructed nasal breathing and chronic nasal inflammation (rhinitis). While it is a nasal surgery, it is primarily functional and not typically considered a type of aesthetic rhinoplasty, though it can be performed concurrently.

Nasal tip correction

Nasal tip correction is a form of rhinoplasty focused specifically on the tip of the nose. It can address the size and shape of the tip, the nostrils, and any defects caused by injury. The underlying nasal structure remains unchanged — only the cartilage in the lower portion of the nose is adjusted.

Nose reduction surgery

A surgical procedure in which the size and shape of the nose are altered to achieve a more balanced and proportionate facial profile. It is most often chosen by those who feel their nose is disproportionately large.

Nose narrowing surgery

A specialised procedure designed to adjust the width of the nostrils or the lower portion of the nose. This type of rhinoplasty is typically chosen when the nostrils are considered too wide or flared. Careful techniques are used to precisely reshape the nostrils while maintaining overall facial proportions.

Nose hump removal

A procedure aimed at removing a prominent bridge — a feature that can make the nose appear uneven, particularly when viewed in profile. The surgeon removes or reshapes excess bone and cartilage to create a more proportionate nasal profile.

Who is rhinoplasty suitable for?

Nose surgery may be worth considering for those who:

• Feel dissatisfied with the shape, size, or proportions of their nose.
• Have a crooked or asymmetrical nose.
• Have a clearly visible nasal hump.
• Have nostrils that appear too large or too wide.
• Have experienced nasal trauma resulting in deformity.
• Have breathing difficulties due to a deviated nasal septum.

An important note: An important note: nose surgery is generally best suited to those aged 16-18 for females and 17-19 for males or older, as the nasal and facial bone structure must be fully developed before then.

Before any decision is made regarding nose surgery, a consultation with a plastic surgeon is essential to assess the individual situation and determine whether rhinoplasty is the most appropriate course of action.

Before and after nose surgery

Preparing for surgery

During the consultation, a thorough analysis of the nose and face is carried out: the shape of the nose, tip position, nasal axis and width, and the relationship of the nose to other facial features are all assessed. Digital photographs and simulation are used to help give a clearer picture of potential outcomes. Breathing quality is also evaluated and the nasal passages are examined.

For at least 2-4 weeks before and after nose surgery, tobacco products and alcohol are worth avoiding, as they can increase the risk of bleeding and complications during healing. For tobacco, a longer cessation period (e.g., 4-6 weeks or more) is often recommended for optimal healing.

After nose surgery

At the end of the procedure, incisions are closed and a special nasal splint and tape are applied to support the desired shape during healing. Nasal packing may be placed inside the nostrils in some cases and is typically removed after 24-48 hours.

During the recovery period, it is important to be aware of the following:

• A splint is worn for 10–14 days.
• Dusty environments and smoking areas should be avoided for around 2 weeks.
• Blowing the nose should be avoided for approximately one month.
• Glasses should not be worn for 2–3 months.
• Intense physical activity, saunas, and swimming pools should be avoided for at least 2–3 months.
• Direct sun exposure should be avoided for approximately 6 months to prevent hyperpigmentation and prolonged swelling.

Nose care after surgery:

• From the second day, nasal rinsing with saline and moisturising drops can be started.
• Cold compresses in the first few days are helpful for reducing bruising and swelling.
• Keeping the head slightly elevated above heart level while lying down is advisable.

Detailed aftercare instructions are provided by the surgeon during the consultation and immediately following the procedure.