The Body

The Face

Cosmetic Surgery Guide

Nose Reshaping (Rhinoplasty)

Rhinoplasty (a nose job) is one of the most popular forms of cosmetic surgery to improve and refine the nose. Primary rhinoplasty refers to nose surgery being performed for the first time. The result should be natural, aesthetically pleasing and in proportion to the rest of the face.

Whether you feel your nose is too big or too small; too thick or too thin; too long or too wide; or too crooked, pointy or bulbous; surgery can alter and enhance its size and shape in a number of ways.

Rhinoplasty requires careful consideration of all facial features and your surgeon will carry out a thorough consultation and examination in respect of this.

There are two main techniques used:

The closed approach: an incision is made within the nostrils.

The open approach: an incision is made across the columella (the vertical bit of tissue separating the nostrils).

Excellent results can be achieved with both approaches and the technique used depends upon individual circumstances.

Your surgeon will separate the skin of the nose from its supporting framework of bone and cartilage then sculpt to the desired shape. Rhinoplasty is highly personal, and the surgeon will tailor the sculpting process according to the problem. At the end of the surgery, the skin will be re-draped over the new framework and small, mouldable splints applied. These must remain in place for several days.

The procedure is performed under general anaesthetic with an overnight stay in hospital.

Initial bruising and swelling will subside after one to two weeks. Some swelling may last for several months.

Complications are rare but some cases (about 5%) may require further surgery to adjust minor irregularities and asymmetries.

See Tamsin Culmer's Rhinoplasty success story below: