Rhinoplasty, also known as nasal surgery or a "nose job," is surgery that reshapes the nose either for cosmetic or health reasons. Your nose is a focal point of your face and the goal of nasal surgery is to create a beautiful natural-looking nose that suits you and is in proportion to your other features.
Specifically, nasal surgery can be done to correct structural problems, such as a large dorsal hump or a crooked nose, or to make more subtle changes to your nose's shape, size, and general appearance. It can also be done to reconstruct the nasal passageways in order to correct functional problems, such as a deviated septum that is causing breathing difficulties.
If you are bothered by the size or shape of your nose and/or have breathing difficulties caused by nasal obstruction, you may be a candidate for rhinoplasty surgery. You should have no major medical problems and be emotionally mature, understand your motivations for having this procedure, and have realistic expectations about what the surgery can achieve. You cannot be a smoker.
If you have had a previous rhinoplasty surgery and are looking for a revision, you must wait until at least a year after surgery.
During your initial consultation with the Plastic Surgery Group at City Centre, your plastic surgeon will examine you and discuss what your goals are. Your surgeon will review your own personal requirements and explain which approach will give you the best outcome. If the surgery is done to correct breathing difficulties, it may be covered by the medical services plan. However, surgery done simply for cosmetic purposes is not covered by MSP.
Day surgery, usually general anaesthetic
Day surgery approximately 3-4 hours
about 3 hours
1-3 weeks off of work
There are two kinds of nasal surgery: Closed Rhinoplasty and Open Rhinoplasty
Closed rhinoplasty involves making small incisions just inside the nostril to make simple changes to the nose. It is often used for patients who need changes to the width and projection of the nose (e.g. isolated dorsal hump) but who don't require a lot of changes to the shape of the tip of the nose.
Open rhinoplasty involves making incisions in the skin of the columella (bridge between the nostrils) and just behind the columella inside each nostril.
With both the open and closed approaches, the details of the technique used can vary considerably depending on the patient and the goals of the surgery. Rhinoplasty is always done under general anesthetic and usually the patient goes home the same day. For people with very subtle contour irregularities, non-surgical techniques can sometime be used to correct these. Injectable fillers or fat grafts can be used to fill in minor depressions. The results are subtle and may not last, depending on the filler used.
While severe pain is unusual, your face may feel puffy, your nose may ache, and you may have a dull headache post-surgery. Extensive swelling, bruising, and skin discoloration to the nasal area and the eyes is very common and usually will subside within 3 weeks. Less obvious swelling to the nose and tip of the nose will subside slowly and may be seen for months following your operation. Any external scars will take 6-12 months to soften and fade. The final results may not be apparent for a year or more.
Depending on your job duties, you will need to have 1-3 weeks off of work or school after your surgery. Light activity can be resumed the next day but heavy lifting should be avoided for a few weeks, so parents of young children may want extra help during this time.
As with any surgery, there are risks. These include the normal surgical risks of infection, scarring, delayed wound healing, bruising, or bleeding, and anesthetic reaction. Complications specific to this surgery may include asymmetry, numb skin, contour irregularities, and incomplete realignment of nasal bones. However, all risks in this procedure are rare. Your surgeon will discuss this with you during your consultation.
The cost of rhinoplasty varies by patient, according to the complexity of the problem that needs correction and the overall scope of treatment. Our team will provide you with a price quote after we have conducted an initial consultation and determined your specific rhinoplasty needs and goals.
The total cost of your treatment should include the surgeon’s fee, facility fee and anaesthesia fee. Additional expenses to consider include the cost of pre- and post-operative care and any prescription medications or supplies you will need after surgery.
If you have questions about what is and is not included in the cost of your rhinoplasty, please ask a member of our team.
Also, note that rhinoplasty to correct documented breathing issues or physical defects caused by an illness or injury may be partially covered by your medical services plan. You should check with your plan to verify rhinoplasty coverage requirements and limitations.
Rhinoplasty can be performed on some teenagers, as long as the candidate’s nose is fully formed. The nose normally stops growing around age 14 or 15 for girls and a year or so later for boys.
If you are a teenager who wants rhinoplasty, our plastic surgeons will talk to you at length to ensure you are emotionally mature enough to undergo surgery. We also want to confirm that you are seeking surgery for the right reasons and that you have concrete, reasonable expectations of the surgical outcomes. We require parental consent if you are under the age of 18.
There are no upper age limits for rhinoplasty.
Undergoing rhinoplasty is not a painful experience. General anaesthesia is usually administered during surgery, so you will not feel or remember anything from the procedure.
In the hours and days immediately following surgery, you may have a mild headache and tenderness or soreness around your nose. You will have some nasal congestion for a few days (and will need to breathe through your mouth). Swelling and bruising are also common.
We will prescribe pain medication to minimize post-operative discomfort, but many of our patients get sufficient relief from over-the-counter pain relievers.
If you have additional questions about what to expect after rhinoplasty, please ask your surgeon.
Revision rhinoplasty is performed to improve upon or correct the results of a primary rhinoplasty. Reasons for seeking revision rhinoplasty include unnatural or dissatisfying aesthetic results or nasal breathing problems that develop after the first procedure.
Certain factors make revision rhinoplasty more difficult to perform than primary rhinoplasty, such as scar tissue and the need for cartilage or bone grafts. If you are seeking revision rhinoplasty, make sure you find a qualified, experienced surgeon to handle your care.
Yes. Rhinoplasty can be performed in conjunction with other facial or body procedures. It is not uncommon for rhinoplasty to be combined with chin surgery to improve the balance and harmony between the nose and chin.
If you are interested in combining rhinoplasty with another plastic surgery procedure, please bring it to our team’s attention during your initial consultation.
To learn more about how you may benefit from rhinoplasty or to schedule a consultation with one of our board-certified plastic surgeons, please contact our Surrey office today.