The Rhinoplasty Procedure
Aesthetically, the nose can have a profound impact on your self-confidence and many patients have always been dissatisfied with the appearance of their nose. While nose reshaping surgery is commonly performed for aesthetic reasons, it is also essential to assess the nose for any breathing problems which can be affecting nasal function so that these can be considered during surgery.
Mr Juling Ong’s aim with rhinoplasty surgery is always to produce a natural result, in harmony with the other facial features. He will meticulously plan the surgery, encompassing the size and shape of the nose and the nostrils, and the contours of the nasal bridge and tip, as well as the projection of the nose.
Surgery Time
2 – 5 hours
Anaesthetic
General
Hospital Stay
Day case or overnight
Time Off Work
2 weeks
Full Recovery
6 – 8 weeks
Broadly, there are two types of nose reshaping surgery; the open rhinoplasty and closed rhinoplasty. During an open rhinoplasty, an incision is made across the skin between the nostrils. This allows Mr Juling Ong to peel the skin back and directly access the cartilage and bony structure of the nose.
A closed rhinoplasty involves incisions within the nostrils and is may be sufficient for patients who require smaller adjustments to the nasal bridge. During a septorhinoplasty, Mr Juling Ong will straighten the septum that divides the nasal cavities to help restore function, as well as improve the aesthetic appearance of the nose.
Frequently Asked Questions
What can rhinoplasty change about my nose?
Rhinoplasty can reduce or increase the overall size of the nose, refine the nasal tip, straighten a deviated or crooked nose, reduce or reshape the nasal bridge (including removing a dorsal hump), narrow the nostrils, and correct asymmetry. It can also address breathing difficulties caused by a deviated septum (septorhinoplasty) simultaneously.
What is a tip rhinoplasty?
Some patients may be happy with the appearance of the bridge of their nose but dissatisfied with the tip, which can appear overly bulky, droopy or asymmetric. For these patients, a procedure to adjust just the tip may be suitable.
What is the difference between open and closed rhinoplasty?
In a closed (endonasal) rhinoplasty, all incisions are placed inside the nostrils, leaving no visible external scarring. In an open rhinoplasty, a small incision is made across the columella (the strip of tissue between the nostrils), allowing the nasal skin to be elevated and providing full access to the nasal framework. Open rhinoplasty is generally preferred for more complex reshaping, as it gives the surgeon superior visibility and precision.
Can rhinoplasty improve my breathing?
Yes. When nasal obstruction is caused by a deviated septum or enlarged inferior turbinates, these can be corrected at the same time as the cosmetic reshaping, in a procedure known as a septorhinoplasty. Mr Juling Ong routinely assesses nasal function as part of the rhinoplasty consultation.
What is the recovery after rhinoplasty?
A splint is worn over the nose for approximately one week. Bruising around the eyes is common and typically resolves in two weeks. Most patients feel comfortable returning to work at two weeks. The nose will feel swollen for several months, and the final result may not be fully apparent for twelve months.
When will I see the final result of my rhinoplasty?
Initial swelling resolves substantially in the first few months, but the nasal skin (particularly a thicker skin type) can take twelve months to fully shrink and conform to the new framework. The definition of the tip continues to be refined over this period. Patience is important with rhinoplasty results.
What are the risks of rhinoplasty?
Rhinoplasty carries the standard surgical risks of bleeding, infection, and anaesthetic complications, as well as procedure-specific risks including asymmetry, breathing changes, prolonged swelling, skin irregularities, and the possibility of revision surgery. Revision rates for rhinoplasty are higher than for many other cosmetic procedures (approximately 10 to 15% in studies), reflecting the complexity of the operation.
Is rhinoplasty painful?
Contrary to many patients’ expectations, rhinoplasty surgery may not be as painful as you might think. There is always some discomfort, and a sensation of being blocked up can persist for several months.
Will I need a revision rhinoplasty?
Most patients are happy with their primary result. Revision rhinoplasty may be considered if, once all swelling has fully resolved (at twelve to eighteen months), a specific area of the nose does not meet the intended result. Mr Juling Ong will discuss this possibility openly at the consultation.
How do I choose a rhinoplasty surgeon?
Choose a surgeon who operates on the nose regularly and who can demonstrate experience with both the open and closed techniques. A reconstructive background is a significant advantage, as rhinoplasty requires a three-dimensional understanding of the nasal skeleton and cartilages. Mr Juling Ong is a Fellow of the Royal College of Surgeons and a member of BAAPS and BAPRAS.
During your consultation, Mr Juling Ong will explain all potential risks and discuss your treatment options in full. Please call us on 020 7927 6528 or email us at info@julingong.com to arrange an appointment.
