Nose Surgery (Rhinoplasty)

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The procedure for your Rhinoplasty will vary depending on your unique needs. There are two common methods used, the Open technique and the Closed technique.

In the Closed technique, incisions are made inside the nose and the cartilage is worked from with the nostrils.

In the Open technique, in addition to internal incisions, an incision is made across your columella (the cartilage that separates your nostrils). The skin is lifted, allowing the surgeon greater access to perform the procedure.

Risks and Complications

Generally, modern day surgery is considered safe.

There are several risks and complications that are possible with procedures completed under general anaesthetic. These risks include; suppressed breathing, lowered blood pressure, heart failure and even the risk of death. These issues by law will be discussed with you by your surgeon prior to having the procedure. Approximately one-third of patients who receive an anaesthetic during surgery will experience “anaesthesia sickness” or post-operative nausea and vomiting (POVN).

The risks associated with having rhinoplasty surgery can include the following:

Post operative bleeding, which is caused by the surgery itself, this is not uncommon however it usually corrects itself over time.

Infections can occur after this surgery and can lead to an abscess forming. If it does not go away on its own, this can result in the infection being treated with antibiotics and the abscess being drained either with local anaesthetic or under general anaesthetic, as it can be uncomfortable.

Adhesions can cause the airway to become obstructed. An adhesion is scar tissue created by the immune system to heal the area, which has been damaged. One cannot control the growth of this scar tissue and it may have to be removed if it affects your airways and your breathing. This will need to be done under general anaesthetic.

If the surgeon removes too much osseo-cartilaginous framework, this can result in the end of the nose structure becoming weak and this can cause it collapse in on itself resulting in the nose looking like it has been pinched at the end.

Q. Are there any age restrictions for undergoing nasal surgery?

A. Yes, the usual age that you can start having this surgery is around 15 years old with parental consent. This is due to the fact that prior to this age, the individual’s nose may not have finished developing.

Q. Is nasal surgery painful?

A. This is relative to the individual, however it is only natural to feel discomfort after having this surgery. After the surgery, the surgeon will usually prescribe you some painkillers to control the pain.

Q. How long does this surgery last?

A. The surgery usually lasts between two to three hours however, this is again relative to the individual and what kind of nasal surgery they are having. This is an approximate time and may be increased if any complications arise.

Q. Will I like what I see straight after the surgery?

A. Straight after the procedure there will be a huge amount of discolouration, swelling and bleeding so the short answer is no. Give it time and as the swelling goes down the nose will begin to look natural. Most patients after a time suggested by their surgeon, are extremely happy with the results.

What does Rhinoplasty cost? What does a nose job cost?

It depends on the surgeon and hospital you choose and the amount of work involved in your surgery. Make sure you ask your surgeon if his price includes the hospital stay and the anaesthetist.

Approximately $6,000 – $12,000

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