Rhinoplasty, commonly referred to as nose surgery, is a procedure performed to alter the shape, structure, or function of the nose.
It may be undertaken for medical reasons, such as improving breathing caused by structural issues, or for aesthetic considerations, such as adjusting the nasal profile. The procedure is tailored to each individual’s anatomy and goals and is conducted by a qualified plastic surgeon.
Surgical Techniques for Rhinoplasty
The most common techniques used for rhinoplasty, depending on the anatomical and functional issues to be addressed, are:
- Open rhinoplasty involves a small external incision on the columella (the tissue between the nostrils), allowing greater visibility and access to internal structures. This technique may be recommended in cases requiring more complex reshaping.
- Closed rhinoplasty involves incisions made entirely inside the nostrils, leaving no visible external scarring. It may be suitable for more limited modifications.
- Structural Rhinoplasty, as the name indicates, requires the use of cartilage grafts to reconstruct various aspects of the nose, giving structural support to the nose, altering shape and function.
Septoplasty and turbinate reduction may be part of the procedure to enhance your breathing. Your APSC surgeon will evaluate your specific concerns and anatomical features to decide which approach is most suitable. Realistic expectations, side effects, and complications will be discussed in detail after clinical assessment and investigations during the pre-operative consultations.
What to Expect During the Procedure
The nasal structure consists of a complex arrangement of nasal bones and cartilages. While the nasal bones, cartilages, and the septum shape the nose, they are also responsible for airflow into our lungs. Any surgery must maintain the balance between form and function.
Rhinoplasty is typically performed as a day procedure under general anaesthesia or local anaesthesia with sedation. While every surgical plan is unique, a typical rhinoplasty procedure may include:
- Anaesthesia: Administered to ensure patient comfort.
- Incisions: Made internally or externally, depending on the surgical plan.
- Reshaping: Cartilage and bone are modified to address aesthetic or functional concerns. Grafts may be used if needed for structural support.
- Closure: The incisions are sutured, and a splint may be applied to support the nose during healing.
The duration of surgery is generally between 1–3 hours. Most patients are able to return home the same day.
Potential Benefits of Rhinoplasty
Rhinoplasty may assist in addressing a range of concerns, including:
- Reducing or increasing the size of the nose
- Straightening a crooked nasal structure
- Refining the appearance of the nasal tip
- Smoothing out a dorsal hump
- Restoring nasal symmetry following injury or trauma
- Correcting congenital irregularities
- Improving nasal airflow when obstructed
The outcome varies between individuals and depends on a number of factors including healing response, anatomy, and surgical goals.
Risks and Considerations
Modern surgery is generally safe, but as with any surgical procedure, rhinoplasty carries risks. These include infection, scarring, breathing difficulties, numbness, or changes in sensation. Rare complications may involve nerve damage or poor wound healing. Working with a certified and experienced plastic surgeon significantly minimises these risks. For a list of general and specific risks and complications of associated with plastic surgery and rhinoplasty, please click here to download.
During your consultation, your plastic surgeon will talk about possible risks and complications. It's essential to grasp these factors before making a decision to proceed with any surgical procedure. Any concerns should be communicated to the team at Advanced Plastic & Cosmetic Surgery.
Recovery and Aftercare
Recovery following rhinoplasty occurs in stages and varies between individuals. General timelines may include:
- First Week: Bruising and swelling are common. Nasal splints or internal dressings are usually removed within 5–7 days.
- Weeks 2–4: Most visible swelling and bruising subside. Breathing may gradually improve as internal swelling reduces.
- 3–6 Months: Ongoing refinement and internal healing continue.
- 12 Months: The final nasal contour typically settles by this time, although minor changes may still occur.
You may experience mild discomfort, nasal congestion, or drainage in the days following surgery. It is important to follow your surgeon’s instructions carefully, including recommendations for rest, wound care, and activity modification. To support recovery and minimise complications, you may be advised to:
- Avoid strenuous exercise
- Refrain from blowing your nose
- Keep your head elevated when resting
- Brush your teeth gently to reduce movement of the upper lip
- Wear clothing that doesn’t need to be pulled over your head
Your APSC surgeon will provide you with individualised aftercare advice.
Who Might Be Suitable for Rhinoplasty?
Rhinoplasty may be considered by individuals who:
- Are in good general health
- Have realistic expectations
- Are over 18 years of age (to ensure nasal growth is complete)
The decision to undergo rhinoplasty should be based on a thorough consultation with a registered specialist plastic surgeon who can assess your individual needs and explain potential outcomes and risks.
Q: Will I have visible scars?
A: Closed rhinoplasty does not leave external scars. Open rhinoplasty may result in a small scar at the base of the nose, which typically fades over time.
Q: How long do the results last?
A: Results are generally long-lasting. However, the appearance of the nose may change with age or external factors.
Q: Can rhinoplasty improve breathing?
A: In some cases, functional rhinoplasty can address structural concerns such as a deviated septum that may be impacting breathing. Your suitability for this aspect of surgery will be assessed during consultation.
Q: When can I wear glasses again?
A: You may need to avoid wearing glasses that rest on the bridge of your nose for several weeks after surgery. Your surgeon will provide specific advice based on your recovery progress.
Important Note
Surgical outcomes can vary significantly between individuals. Any before-and-after images or descriptions of outcomes (not included here) are not indicative of what every patient may achieve. Only a consultation with a RACS Certified plastic surgeon can determine whether rhinoplasty (nose surgery) is suitable for you.
Deciding on rhinoplasty (nose surgery) is a personal choice that’s best made with a full understanding of the potential benefits, limitations, and risks. Our surgeons at Advanced Plastic & Cosmetic Surgery provide evidence-based guidance and a transparent consultation process to help you make an informed decision. If you would like to explore whether rhinoplasty (nose surgery) is suitable for you, we encourage you to arrange a consultation with our team.