Rhinoplasty (Nose Job)

Rhinoplasty

Rhinoplasty, or a ‘nose job’ is an operation that aims to improve the appearance of your nose and harmonize it with the rest of your face, while preserving or improving nasal breathing. The operation can improve a nasal hump, your nasal tip and/or your nostrils, and can correct deformities due to injury or birth defects. In the right circumstances, problems that affect breathing can also be addressed.

Dr. Kim's philosophy regarding Rhinoplasty is that a trained artistic approach is essential as balance and proportions are more critical than in any other aspect of plastic surgery. Your nose is the most crucial feature in defining your overall appearance and it takes great skill to get this balance right. The results from rhinoplasty surgery can be amazing for your overall appearance, and flow on to your overall confidence and self-esteem.

Closed Rhinoplasty

This operation is limited to those requiring very minimal changes in specific areas. All incisions are placed inside the nostrils. As a result, there are generally no external scars.

Open Rhinoplasty

This is a far the more common procedure performed by Dr. Kim. In addition to the incisions inside the nostrils, there is a small incision placed on the columella – the small bridge of skin between the nostrils.

This technique provides the best exposure to the underlying cartilage and bony elements of the nose and thus greater control and finesse can be used for the delicate reshaping required in rhinoplasty.

Septoplasty

A deviated or curved nasal septum can create the appearance of a crooked nose and may change the appearance of the nasal tip. Breathing can also be affected on the deviated side. Septoplasty is often done in conjunction with a rhinoplasty to improve these features.

Rhinoplasty surgery is a highly individualized operation and should always be customized to the individual patient. Predicting which technique to use can be very complicated and may require more than one consult to get right.


Recovery

Rhinoplasty surgery is performed under general anesthetic as a day case, or more commonly with an overnight stay. A splint is worn on your nose for 1-2 weeks and patients usually take this period off work.

Internal splints are also placed and these usually come out after one week. In the immediate pre- and post-operative period you will be required to flush the nose with normal saline and potentially use some anti-inflammatory creams. A detailed information pack of what you are required to do will be given to you before your surgery.

If there is any dripping or bleeding from the nose (may last up to 2 weeks) this is to be wiped only and we request that you don’t blow your nose for the first week after surgery. External stitches are removed at around five to seven days post op. Bruising is variable and most of the bruising will subside in about 3-4 weeks. Most patients report little pain after nasal surgery and the discomfort is easily controlled with simple pain medication.

While some results will be seen when the cast is removed and in the weeks that follow, it takes about a year before the final result can be fully appreciated.

After your surgery you will be advised to take a number of precautions:

  • You should avoid vigorous activity for two or three days to reduce the risk of a nosebleed
  • Avoid strenuous activity for the first month after surgery
  • Avoid hitting or rubbing your nose and be gentle when washing your face and hair and applying cosmetics for the first six weeks
  • It is important that you not blow your nose for 7 days after surgery
  • It is normal for the tip of the nose to feel a little numb after surgery, however the sensation almost always recovers
  • Contact lenses can be worn immediately, however, glasses must not put pressure on your nose for the first 4-6 weeks.
  • It is important to avoid aspirin products or other medications that promote bleeding

*Nasal appearance may change as the result of aging, sun exposure, or other unexpected circumstances and these are not related to rhinoplasty.


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