Rhinoplasty is a surgical procedure that reshapes the nose. It can be performed for aesthetic reasons, to improve breathing, or both. The structure of the nose consists of bone in the upper part and cartilage in the lower part. Rhinoplasty may involve modifying bone, cartilage, skin, or a combination of these.

When planning the procedure, the harmony of your facial features, the skin quality of your nose, and your expectations are carefully evaluated. A personalized treatment plan is then created to achieve the most natural and functional results.

Why Rhinoplasty is Performed

Rhinoplasty can address:

• Nose size, shape, or proportions

• Issues caused by injuries

• Birth defects affecting the nose

• Breathing difficulties related to structural problems

Potential Risks

As with any surgical procedure, rhinoplasty carries risks such as:

• Bleeding and infection

• Anesthesia-related reactions

• Breathing difficulties through the nose

• Numbness in and around the nose

• Swelling, discoloration, or uneven appearance

• Scarring or septal perforation (a hole between nostrils)

• The need for revision surgery

• Changes in the sense of smell

Preparing for Rhinoplasty

Before the operation, several steps are taken:

Medical History

A detailed health history, including nasal blockages, surgeries, bleeding disorders, or medications, is reviewed.

Physical Examination

Your facial structure and nasal anatomy are examined to determine the necessary changes and evaluate how surgery may affect breathing.

Photographs

Photographs are taken from different angles. These images help in planning, before-and-after comparisons, and realistic discussions of expected outcomes.

Expectations

Clear communication about your goals is crucial. Your surgeon will explain what rhinoplasty can realistically achieve and how it may affect overall facial balance.

Additional Preparations

• Avoid aspirin, ibuprofen, and herbal supplements before and after surgery.

• Stop smoking and vaping to promote proper healing.

• Arrange for someone to drive you home and assist in the first days after surgery.

During the Procedure

Rhinoplasty is performed under either local anesthesia with sedation or general anesthesia. The approach depends on the complexity of the surgery.

The procedure may be carried out:

• Inside the nostrils (closed rhinoplasty)

• Through a small incision at the base of the nose between the nostrils (open rhinoplasty)

Bone, cartilage, or tissue may be reshaped, removed, or added to achieve the desired result. In cases of a deviated septum, septoplasty can be performed alongside rhinoplasty to improve breathing.

After the Procedure

• Patients usually return home the same day.

• Splints and bandages may remain in place for about a week.

• Temporary bleeding, swelling, and congestion are normal.

• Activities such as intense exercise, nose-blowing, and facial pressure should be avoided for several weeks.

• Glasses should not rest on the nose for at least four weeks after surgery.

• Sun protection is essential to prevent discoloration.

Swelling around the nose and eyes typically improves in 2–3 weeks, though minor swelling can persist for up to a year.

Results

Even small changes in nasal structure can significantly enhance appearance and function. Final results may take up to a year to fully settle as the nose continues to heal and adjust. In rare cases, a secondary surgery may be required for further refinement.

Frequently Asked Questions

How is rhinoplasty different from septoplasty?

Rhinoplasty reshapes the nose for cosmetic or functional purposes. Septoplasty focuses on straightening the nasal septum to improve breathing. Both procedures can be performed together.

Is rhinoplasty a simple operation?

No. Rhinoplasty is highly delicate due to the nose’s central location and complex structure. Small adjustments can create major changes, making precision essential.

How long does recovery take?

Most patients return to daily activities within a week, but full recovery and disappearance of swelling may take several months.

Is rhinoplasty painful?

Pain is generally mild and well-controlled with medication. Discomfort usually decreases within a few days.

Will I need revision surgery?

Most patients achieve satisfying results with a single surgery. However, a small percentage may require revision for further adjustments after full healing.

Can I see a preview of the results?

Pre-operative photographs and computer simulations may be used to help visualize potential outcomes.