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If you are considering a nose job, La Belle Forme offers rhinoplasty in Kent at our Sevenoaks Clinic.
Nose reshaping – or rhinoplasty – is one of the most complex cosmetic surgery procedures. It can be performed in many different ways and every patient has unique features and wishes to consider. A nose job can be done with surgical incisions inside the nose or with some incisions on the outside, it can involve the use of cartilage or bone grafts if needed or it can be performed without surgery using filler injections for minor corrections. People even have different reasons for rhinoplasty, some want to improve their breathing difficulty, others consider it for purely aesthetic reasons.
In the section below, La Belle Forme consultant plastic surgeon Taimur Shoaib talks about how we assess your nose, how we perform a rhinoplasty and all the factors you need to consider when making a decision about this operation.
Assessment of the Nose
Before you have a nose reshaping or rhinoplasty, your surgeon will assess your nose. You will discuss what you would like to achieve and what would you like to change about your nose. It is very important to be clear about this because there is so much we can do on a nose, and being very specific is helpful to the surgeon. Your surgeon will ask you about your general health and whether you have any previous relevant issues with your nose (operations, injuries, breathing difficulties, and so on).
The examination involves looking at and feeling the nose internally and externally along with a breathing assessment. Your surgeon will also have a look at the skin of the nose and will assess the size and shape of the rest of your face. Most people are looking for a nose that is in harmony with their face. If, for example, the chin is too small, this may give the nose an apparently prominent appearance in the face. So, sometimes your surgeon may talk about other additional procedures.
How We Perform a Rhinoplasty
To do a rhinoplasty, we need to get access to the cartilages and bones that form the structural framework of the nose. Together, the cartilages and bones form the skeletal support of the nose, and a rhinoplasty changes these structures. Your skin then redrapes across the new skeletal framework.
A “closed rhinoplasty” is one in which the incisions are made on the inside of the nostril, and an “open rhinoplasty” is one in which a small incision is made in the skin under the tip of the nose which separates the two nostrils. Some surgeons do more open rhinoplasties as they feel they can predict the final outcome more readily, but other surgeons do more closed rhinoplasties as the final result is achieved with less swelling and a shorter recovery period in a procedure that already has a notoriously long recovery period before the final results are seen.
Whichever method is used, the surgeon will reshape the bones and cartilages and expect the skin to redrape over the new shape without too much swelling. If the skin is too thin, then any minor imperfections will come through into the skin, and if the skin is too thick, then the skin will not drape well across the new shape of the new skeletal framework. You will usually have a plaster on your nose for about a week, and have a couple of packs inserted to prevent nose bleeds for a day or so.
Expected and Unexpected Results
Although the final results are not seen for at least a year after a rhinoplasty, there are some things we expect during the recovery and some things we hope not to see. We expect a change in the shape of the nose; we want this to be your expected outcome, but everyone needs to be realistic about the exact size and shape of the final result after your rhinoplasty Kent surgery.
Sometimes, your nose needs a further operation to tweak the final results. Finally, the nose actually continues to grow throughout your life so it will change shape as the years go by.
Risks and Recovery
If you are considering a nose job, you should be aware of the following risks and expectations of outcome:
Recovery time. The final results of a nose job aren’t seen for up to one year once all the swelling settles down. Even then, the nose continues to change as time goes on and as we age. It becomes longer and more drooped as we age.
Swelling. You will have nasal packs for 24 hours and a blocked nose for a few days after a nose job. Black eyes last for around 2-4 weeks, but the tip and bony portion of the nose will stay swollen for several months after the operation, with the last of the swelling taking several months to resolve completely. Very rarely, some people report permanent swelling around the lower eyelids after a rhinoplasty.
Other possible complications.
These include: infection, bleeding, scarring, overcorrection, undercorrection, asymmetry, numbness, prominent veins developing on the nose, skin damage, impatience with the recovery process, dissatisfaction with the final result.
Complications in secondary (repeat) rhinoplasty include: those from taking cartilage or bone grafts from the rib, head or ear, persistence of the abnormality, and moving of grafts after they have been put into place. Secondary rhinoplasty is associated with a longer recovery time, more swelling and less predictable results.
Revision rhinoplasty. There is always a revision rate associated with rhinoplasty; if you are having a revision rhinoplasty after a rhinoplasty Kent surgery performed by us we will not charge the surgeon fees, but you may still be liable for paying the hospital and anaesthetist for their fees.
To make a reservation call our Sevenoaks Clinic at 01732 462844 or use our enquiry form and we will get back to you as soon as possible.