Rhinoplasty

Rhinoplasty is a surgical procedure that reshapes or reconstructs the nose. It can be performed for:

  • Aesthetic reasons – to change the shape, size, or proportions of the nose.

  • Functional reasons – to improve breathing, often due to a deviated septum or previous trauma.

  • Reconstructive reasons – to restore nasal structure after injury, previous surgery, or cancer treatment.

The surgery is tailored to your anatomy and goals. It may involve removing, reshaping, or adding bone and cartilage to achieve the desired result. Techniques include:

  • Closed rhinoplasty: All incisions are hidden inside the nose. Recovery is usually faster, and there is no visible scarring.

  • Open rhinoplasty: A small incision is made across the columella (the skin between the nostrils), giving the surgeon better access and precision, particularly for complex or tip work. Recovery may take longer due to more swelling.

Areas of the nose that may be treated:

  • Bridge (dorsum): If there’s a hump, the excess bone and cartilage are removed. The nasal bones may be carefully broken and repositioned to narrow the bridge.

  • Tip: Cartilage at the nasal tip can be reshaped or reduced. This is done via incisions inside the nostrils or with a small external incision (open rhinoplasty).

  • Length: Adjustments to the septum (central support inside the nose) and tip cartilage can shorten the overall nasal length.

  • Width: Repositioning the nasal bones can narrow the base of the nose.

  • Augmentation (additional rhinoplasty): Cartilage grafts (usually from the nasal septum) or, rarely, implants can enhance a flat bridge or poorly defined tip.

These techniques can also straighten a previously broken nose or improve nasal airflow.

  • The operation is performed under general anaesthetic and lasts approximately 90 to 180 minutes, or more, depending on complexity. Most patients go home the same day, although an overnight stay may be advised in some cases.

    • Plan to take two weeks off work or usual activities

    • Mild pain or discomfort is expected and can be managed with simple painkillers

    After surgery:

    • A splint will be placed over your nose and secured with tape for 7 days

    • A small gauze pad may be placed under your nostrils for the first 12 hours to catch minor bleeding

    Bruising and swelling around the eyes are common, especially if the nasal bones are repositioned:

    • Expect purple bruising for 7–10 days

    • Followed by yellow discolouration for 10–20 days

    • Nasal congestion and a blocked sensation may persist for several weeks

    You can usually:

    • Walk short distances after 3–5 days

    • Swim after 3 weeks

    • Return to strenuous activity or contact sports after 4–6 weeks

  • All surgeries carry risks. In rhinoplasty, these may include:

    • Temporary changes in smell

    • Breathing changes or ongoing nasal congestion

    • Minor bleeding, which is common in the first few days

    • Heavy bleeding, which is rare but may require treatment

    • Prolonged pain, usually mild and manageable

    • Visible or palpable irregularities in bone or cartilage

    All the risks and contraindications will be discussed to you by the surgeon during your consultation.

  • For most people, rhinoplasty surgery results last for their life time. Mr. Eccles will discuss this with you at the time of the consultation.