Having a nose that is unnatural or asymmetrical in shape is quite common and the reason rhinoplasty (nose job) is the most desired facial reconstructive procedure around the world. When the nose protrudes in an unfavourable way it can leave you feeling self-conscious about your overall appearance. Through rhinoplasty, even a minor adjustment can make a major difference in achieving balance between your nose and the rest of your face.
The nose is most importantly part of our respiratory system. For this reason it is critical the nasal passages be protected while altering the size or shape of the nose. Highly skilled ENT (Ear, Nose and Throat) and Facial Plastic Surgeon, Dr Choroomi is uniquely experienced and qualified to address both aesthetic and functional issues that may arise during your surgery.
Common Concerns in Rhinoplasty patients
- Dislike the shape
- Hump or bump on the bridge
- Large, round nasal tip
- Trauma to the nose
- Breathing difficulty
Rhinoplasty Consultation with Dr Choroomi
During your rhinoplasty consultation Dr Choroomi will evaluate your nose and facial frame. Photography and digital imaging will be performed to show what cosmetic changes may be possible with rhinoplasty surgery. You will have the opportunity to discuss why you desire rhinoplasty, including expectations and desired outcomes.
Your facial and nasal structure is unique, therefor Dr Choroomi will customise surgical treatment to match your individual anatomy and aesthetic desires. Specific questions regarding surgical procedure, recovery, and results will be discussed in detail at your consultation to ensure you are fully informed and comfortable with the surgical plan.
Dr Choroomi’s preferred method for rhinoplasty is an “open” rhinoplasty procedure.
A small incision is made on the collumela (the area dividing the nostrils). The skin of the nose is then lifted back, allowing Dr. Choroomi a clear view and superior access to manipulate the bone and cartilage in your nose. Through this incision all rhinoplasty concerns can be addressed. Most importantly, through an open incision Dr. Choroomi can accurately assess and control the variants of your nasal tip, a vital component in achieving a natural and long-lasting result. Very fine sutures are meticulously placed to close the incision at the end of the operation.
Closed rhinoplasty procedures are mainly reserved for small hump reductions or minor tip refinement cases, operating on the entire framework of the nose through the opening of the nostrils. The main advantages of a closed rhinoplasty are hidden incisions within the nose and less post-operative swelling. However, this method gives an obstructed view of the bone and cartilage underneath your skin and this limited view can lengthen an operation.
Recovery after Rhinoplasty Surgery
The recovery from both “open” and “closed” rhinoplasty is exactly the same in the immediate week following surgery. Gauze will be placed under your nose, much like a mustache, to catch any mild oozing. A splint and cast will be placed on the outside of your nose to provide structural support as your nose begins to heal.
On your postoperative visit, typically a week after surgery, your splint and cast will be removed. If you had an “open” operation, there are typically 8 very fine sutures that will be removed from your collumella. If you had a “closed” operation, these sutures do not exist; your stitches are internal and will dissolve on their own. Bruising may be more common in patients who had open rhinoplasty, although this will heal in 1-2 weeks.
Physical activity must be reduced for two weeks to keep swelling at a minimum.
You may see minor results and have breathing improvement after the swelling subsides, typically 3-5 weeks. Due to gravity the tip of the nose is the last to heal. Swelling can take a year to completely subside, after 12 months you will be able to fully appreciate the aesthetic beauty of your nose.
Non-surgical options for Rhinoplasty:
Non-surgical rhinoplasty or Injectable rhinoplasty is a treatment for patients who may be hesitant about having surgery, need a minor aesthetic correction or want an idea of what their nose may look like after a rhinoplasty operation. Dermal fillers are injected under the skin of the nose to improve a droopy nasal tip, hide a dorsal hump or smooth out any irregularities or asymmetry in the nose. While injectable rhinoplasty can disguise minor irregularities on the nose it has its limitations on how much correction can be achieved. Changing the positioning the tip, making the nose smaller, and improving breathing problems are among the indications that require a traditional surgical rhinoplasty.
Injectable rhinoplasty has minimal discomfort and next to no downtime, however, this treatment is only temporary and will need to be maintained.
Common Surgical Combinations
Patients have found that rhinoplasty surgery can provide dramatic results, especially when combined with other functional and facial rejuvenation procedures.
- Functional Rhinoplasty may be performed in combination to correct breathing issues.
- Deviated Septum Surgery (Septoplasty) is performed to straighten a bent septum, the cartilage that separates your nostrils. When the septum is bent it can cause breathing issues that affect sleeping and the quality of life.
- Sinus Surgery is often performed in combination with rhinoplasty surgery to relieve any pain or pressure associated with sinusitis.
- Lip Lifting surgery can permanently increase the fullness of your upper lip resulting in a beautiful, youthful appearance.
- Facial Implants The size of your chin may alter the perceived size of your nose. Chin implants are often recommended to balance out facial proportions.
- Patients can benefit from the combination of rhinoplasty and Facelift to restore shape, balance and definition to a face that has been affected by age and gravity.
- Neck Lift surgery can correct sagging skin in the neck and jawline, leaving patients looking years younger.
- Eyelid Surgery is performed to address aged eyelids characterized by excess drooping skin, wrinkles and puffy bags. It may involve the upper eyelids, lower eyelids, or both.
- Brow Lift surgery can be combined with rhinoplasty to correct sagging skin in the forehead, upper eyelids and eyebrows.
- Fat Injections have a long-lasting result and are a great alternative to dermal fillers. Fat is extracted from your tummy or thighs, then replaced in the face where volume has been lost.