Rhinoplasty changes the shape of the nose. Planning involves more than looks. How air moves through the nose matters, as do skin thickness and cartilage support. Past injuries or surgery also matter. The plan should take the rest of the face into account.
Changes to nasal structure and breathing
Surgery may change bone, cartilage, skin support or a mix of these. Some people want a change in the nose’s proportions. Others also need checks for a blockage or a problem with its structure. The plan should make cosmetic goals and functional needs clear. It should explain how they overlap.
Who may consider it
Adults may be considered for surgery once growth is complete. Their health must be suitable for surgery, and their goals must be realistic. Active smoking or an illness that is not under control can affect suitability or timing. So can unrealistic expectations or an untreated disease of the nose. Computer images can help with the discussion. They cannot guarantee an exact result.
Have an in-person examination and review your medical history before you decide. Discuss the other options and what each can realistically offer. Photos, measurements or scans may help when they add to the clinical plan.
Assessment and treatment planning
Your surgeon should check the structure of your nose, skin quality and any past procedures. They should review your medicines and exposure to smoking or nicotine. They should also check for health issues that could affect the anaesthetic or healing. Agree on the planned change, while preserving function and proportion.
- Choose a qualified surgeon and an appropriately equipped clinical setting.
- Discuss scars, anaesthesia, recovery support and the possibility of revision.
- Follow instructions on medicines, nicotine, food and transport home.
Rhinoplasty recovery and follow-up
Swelling, bruising and a feeling of tightness are common after many cosmetic operations. Temporary changes in feeling are common too. Limits on activity and when you can return to work depend on the extent of surgery. Swelling often fades over time rather than on a fixed day.
Recovery varies from person to person. Follow your written aftercare advice ahead of general timelines. Tell your treating team promptly about new severe pain, trouble breathing, heavy bleeding or fever. Also report any other unexpected symptom.
Risks and limitations to understand
Every operation carries risks. The balance depends on the procedure and your health history. It also depends on any operations done together and how long the anaesthetic lasts.
- Bleeding, infection and anaesthetic complications
- Delayed healing, visible or widened scars and changes in sensation
- Asymmetry, contour irregularity or an outcome that differs from expectations
- Blood clots and the possible need for additional treatment or revision
Questions worth asking at consultation
- What outcome is realistic for my anatomy?
- Where will the procedure take place and who provides anaesthesia?
- What will the scar and recovery plan look like?
- How are complications and follow-up managed after I return home?