Commonly referred to as a “Nose Job” surgery, Rhinoplasty is a complex procedure requiring open discussions with your FRACS qualified Specialist Plastic Surgeon, as well as careful planning and quite a bit of patience. It requires very honest discussions with your Specialist Plastic Surgeon (and Rhinoplasty Specialist) and a willingness to wait up to a year or more to see your final results, as well as the dedication to maintaining realistic expectations AND to collaborate with your Surgeon during the pre-surgery, surgery and post-operation healing phases.
Reasons people have Rhinoplasty surgery (Nose Job Surgery)
Nose Surgery Snapshot: Few of us are born with a perfect nose. The desire for a smaller, straighter, cuter nose makes rhinoplasty, or nose reshaping, among the most popular cosmetic procedures.
If you believe what you see on the internet (and much misinformation exists), you’ll almost believe that nose reshaping is nearly a beauty prerequisite for starlets and socialites. The internet is rife with before and after photos speculating which celebrity has once had a nose job, and when in their career they had the surgery performed. Often, these speculations about celebrity nose jobs remain non-validated, even when widely shared or seemingly re-affirmed by Plastic Surgeons & other expert Rhinoplasty surgeons.
Certainly, quite a few celebrities have likely had Rhinoplasty surgery – and it remains a popular choice for reshaping the nose and refining the appearance of the face, for many people working in a number of professions. Why? Because for many patients, it’s a life-changing, confidence building surgery. But each person is different and there are no guarantees; so be sure you understand what surgery might accomplish, and don’t expect the impossible or you’ll be disappointed. What you start with and your facial anatomy and skin WILL impact your final result from a nose job.
Celebrities do try to make the most of their appearances.
But a unique facial feature can actually help a person remain noticed; and you need to be prepared for an altered appearance if you are seriously considering nose reshaping surgery.
Certainly, many people DO seek nose reshaping surgery for purely aesthetic reasons – but sometimes they seek nose reshaping surgery for health issues such as sleep apnea or other breathing problems.
But a more attractive or balanced side-on facial profile isn’t the ONLY reason people seek rhinoplasty.
Injuries, sporting mishaps, motor vehicle accidents, birth defects and breathing problems may precipitate the need for rhinoplasty.
Key Reasons for seeking RHINOPLASTY include:
- you feel your nose is out of balance or disproportionate (too large, too small or out of proportion with your other facial features)
- your nose twisted or unbalanced
- nose has lumps or bumps from a previous injury
- the tip of your nose droops
- your nostrils flare
- you feel the base or bridge of your nose is too wide
TYPES OF RHINOPLASTY Surgery: What’s involved in a nose job/nose reshaping procedure?
There are two types of rhinoplasty. During a consultation, your surgeon will determine which approach is right for your skin type and aesthetic goals.
Open rhinoplasty: incisions are made outside the nose, on the columella, vertical section of skin that divides the nostrils. Sometimes these scars will be visible.
Open rhinoplasty is used when seeking dramatic changes in nose size and shape. Most patients (although not all) require an open rhinoplasty. The scar is nearly invisible afterward although you will have a scar, and the visibility of the scar can vary from patient to patient.
Closed or endonasal rhinoplasty: incisions are made inside the nose. Closed rhinoplasty never results in visible scars.
Results after Rhinoplasty: If you have Nose Surgery, you are unlikely to see the final result for up to a year.
For most people who choose this life-changing surgery, having patience is an important part of the healing phase after having a nose job. Swelling may last for up to a year or longer, however, most of the swelling will preside over the first few weeks to several months after surgery (recovery, swelling and bruising after rhinoplasty surgery varies from patient to patient, so ask your Surgeon for the range that suits your particular procedure, as nose surgery is highly individualised and customised to each patient).
Why is having nose surgery so complex? And why will you need patience to see the final results of your nose surgery?
Your nose is SO central to your overall facial appearance, that you might not recognize just how much changing its shape will change your entire appearance. It may not be easy to fully envision how a new nose after surgery will change your appearance from different angles. That’s partially why nose reshaping surgery is often so highly complex (including extended periods of facial and nose swelling whilst you heal after surgery). It’s simply very central to the face as well as pivotal to how your overall face appears – in proportion to the rest of your facial anatomy.
That’s why a good Rhinoplasty result requires carefully planning, realistic expectations and a lot of post-op patience.
If you want to have your nose reshaped or made smaller, or less bumpy, you need to be prepared – emotionally – for the change. That means understanding that you can’t always fully anticipate nor predict JUST how much a cosmetically changed nose will alter your entire facial appearance. You can’t always predict what you might think about your new look, or facial appearance, or your new nose – after you fully heal from surgery.
But change your entire facial appearance, not just that of your nose, indeed, is often precisely what a nose job often does.
Often, it can help a person feel more confident or less self-conscious about their nose shape, size or dimensions. But each patient is unique and each result is unique. So keep that in mind as you are looking into scheduling your nose surgery in the near future. Do all you can to understand the surgery, risks, and what it can and cannot accomplish for you – and discuss your expectations and goals with your Surgeon. It’s important you also feel comfortable with your choice of Specialist Plastic Surgeon (FRACS); you’ll want a Surgeon you feel comfortable with, in terms their experience, patient care manner and your comfort in asking ANY and ALL questions you may have about your surgery.
If you’ve gone somewhere else for an opinion and didn’t feel comfortable, just ask our Patient Care team for a consultation and second opinion from one of our Rhinoplasty experts in Melbourne!
Having good communication with a Specialist Plastic Surgeon for Rhinoplasty surgery may be helpful in getting a good result that you are happy with – but remember, every patient is different, and there are no guarantees.
It takes time to heal after a nose job – swelling can last a year or longer after a major Rhinoplasty
- Healing after nose surgery is a process that varies from patient to patient; however, you will start to see what your Rhinoplasty results might look like after several months of healing.
- Facial swelling may last up to a year or more, for some patients and certain nose surgery procedures.
- Ask your Specialist Nose Surgeon for how to optimise your healing period, including our unique Post-Op Rapid Recovery “Science and Love” healing package and the possibility of having Healite II sessions for some surgical procedures.
A nose job will change the look of your face; it can be life-changing for many patients; however, it won’t turn you into a celebrity or suddenly remedy other problems in your life.
Nose reshaping surgery or ‘nose job’ surgery is very popular for women and men. But it is not something you should take lightly, as it is a very involved surgery that has risks.
If you have been relentlessly teased or taunted about your nose shape, size or bumps, of believed it held you back from being comfortable with your facial appearance, nose surgery may give you a bit more comfortable with your appearance, if you have a good result you really like.
Many nose job patients DO find nose surgery to be life-changing in terms of confidence in their appearance or less personal or social focus involving their nose shape or nose size (proportions). But having cosmetic surgery of the face, body, breasts or nose doesn’t mean your life will suddenly change – and it’s a serious endeavour to have surgery. It’s important to keep your expectations realistic and to plan for a lot of patience, including that you may feel differently about your new look than you anticipated.
A Rhinoplasty won’t, however, suddenly leave you looking like a celebrity or someone else whose nose or side-on profile you’ve long admired. It will simply be an adjustment to your nose, from the front, 3/4 view and side-on profile.
And some people who have nose surgery are surprised they miss their old noses – not many, but it does happen occasionally. So be sure you have contemplated this surgery decision very thoroughly and that you are having it to please yourself, no one else – and not expecting it to change your life entirely.
Important things to consider before you consent to a Rhinoplasty.
- A different nose shape or size may change your entire facial appearance in ways you can’t fully anticipate in advance
- Healing can be unpredictable and you’ll need to have patience and follow post-surgery instructions carefully
- Swelling of the nose for months to a year or sometimes slightly longer is not uncommon for most patients who have had nose reshaping surgery.
- What might look like a simple ‘fix’ solution to you about a nose bump, hump or twist, is likely to involve a highly complex surgical restructuring of many internal aspects of your nose anatomy – it’s anything but simple and you need to choose a great Surgeon who has long-term experience and an artistic eye.
- Revision requests are not uncommon (Revisional Rhinoplasty Procedures). Some relate to unrealistic expectations and/or a lack of communication between the patient and Surgeon. Often, it’s an expectation that you can significantly change your nose without paying attention to what your nose structure and skin is like before your surgery.
- Surgery can only do so much in terms of change – What you start with in terms of your nose anatomy and facial features WILL impact on your final nose surgery result – so will your compliance with instructions to prepare for surgery, including never smoking, and your adherence to your Surgeon’s post-surgery instructions.
HOW DOES NOSE RESHAPING WORK?
Like a sculptor, a highly trained Specialist Plastic Surgeon will sculpt the underlying structure of your nose. Occasionally, other facial bones might also be slightly adjusted to improve the appearance and presentation of the nose. The actual surgery can involve well over 20 different surgical techniques and changes to numerous aspects of your nose anatomy and nasal area, including the tip and bridge. It is an extremely challenging surgery and hence, one you want to trust to a FRACS qualified Specialist Plastic Surgeon who has performed numerous nose surgeries for patients in your local region.
Nose Surgery involved numerous delicate operations in one surgery session – that’s what makes this face surgery such a complex surgery, requiring an Expert Surgeon to get a good result that looks appealing with your other features.
And what you have to begin with WILL influence your outcome – your ‘new nose’ may be limited by what you’re starting with, but many nose appearance concerns can be altered by reshaping of the nose shape, size, width, tip shape and nostrils.
There are numerous approaches to Rhinoplasty surgery. Choosing the right Surgeon who specialises in the procedure can help you learn what can – and what cannot – be accomplished through surgery.
What is involved with your nose surgery will depend on what you’re starting with and your existing nose structures, nasal health and facial anatomy.
The surgery can take several hours to perform. Ask your Surgeon for an estimate of how long you can expect the surgery itself to take (although this length of surgery time is difficult to fully predict with accuracy as much of the underlying area is not visible until during the surgery).
Cartilage from your nasal septum (the cartilage within your nose dividing your nostrils) or from other parts of the body or face can sometimes be taken to build up your nose in other areas. If your surgeon is correcting a previous rhinoplasty during which your nasal septum was already utilized, he or she may use cartilage from your ear or even ribs.
RISKS AND LIMITATIONS OF NOSE SURGERY
As with all cosmetic procedures, realistic expectations are essential. So is understanding the risks involved – ask a Surgeon or Nurse for more information or visit our Procedures pages to learn more about risks of surgery.
- Clear communication and shared expectations are key to arriving at the result you are hoping for.
- In order for your surgeon to achieve optimal results, facial skin must adapt to the reshaped nose structure.
- Patients with especially thick skin may not see quite as dramatic a nose correction.
A skillfully executed Rhinoplasty result should last a lifetime, although of course, your face and skin will age over time, which may impact the entire facial appearance including your reshaped nose.
However, nose surgery results DO take some time to fully envision, so you need to be extremely patient.
- The first year after surgery you will experience changes as tissues heal and swelling reduces.
- As with all surgeries, there is the risk for infections, some which could be serious and potentially life-threatening.
- Scars from an open rhinoplasty may be visible.
- Your nasal functions may be impacted by surgery.
- Other significant surgery risks, including risks of blood clots, bleeding and particular anesthetic risks common to all surgery procedures where a general anesthetic is being used, also need to be considered before you consent to your nose reshaping surgery.
Ask your Surgeon for details during a confidential consultation or send an enquiry form to learn more. If possible, ask to speak to other patients who have gone through a nose surgery procedure to learn more about what it was really like. Above all, choose your nose surgeon VERY carefully.
Your nose – and your face – are very visible and your surgery results, once healing passes, will be on full display. Don’t trust your nose job to a less experienced Surgeon or a Surgeon who isn’t a Board Certified Specialist (look for FRACS as well as ASAPS or ISAPS).