Nose job Scotland

Nose job Scotland

Nose job Scotland

When considering a nose job (rhinoplasty) there are important questions that you need to consider. We have listed some of the most commonly asked questions below with answers about our own practice:

Before open rhinoplasty

Before open rhinoplasty

After open rhinoplasty

After open rhinoplasty

What is a rhinoplasty?

A rhinoplasty or nose job is a surgical procedure designed to reshape the nose. Common indications include making the nose smaller, reducing the bridge (hump) of the nose, narrowing the nose, making changes to the nasal tip, reducing the length of the nose or lifting a droopy tip. Rarely surgery is requested to augment a small nose. Surgery is often requested by patients who have previously fractured their nose.

I don’t like the look of my nose but I’m not sure why?

As mentioned above, it is easier when you are clear about what it is you don’t like about your nose and when your concerns match the examination findings. We appreciate that it can be difficult to express exact concerns in many cases and we will often take photos during the consultation and upload them and have a discussion about what may or may not be correctable.

I have difficulty breathing through my nose – can this be corrected at the time of surgery?

This is a common complaint and is usually correctable if it is caused by a deviated nasal septum. This is easy to assess for during the consultation and will be pointed out to you. Correction of a deviated nasal septum along with a cosmetic rhinoplasty is known as a septorhinoplasty.

Is there an optimal age to have a rhinoplasty?

We prefer to wait until patients are 17-18 years old and have completed the growth of their facial skeleton. It is crucial to consider an individual’s emotional and social maturity and to make sure that they fully understand the implications of rhinoplasty surgery. A commonly requested time for rhinoplasty is just prior to starting university.

Is there an upper age limit for rhinoplasty?

No, as long as you are in good physical and mental health, age is not a factor. Rhinoplasty in the 40s and 50s is relatively common. However, it should be noted that the recovery period and swelling may last longer in older age groups.

How do I know if I am a good candidate for rhinoplasty?

If you do not like the way your nose looks and are willing to undergo a surgical procedure, and if you are in good physical and mental health, then it is worth having a consultation to discuss your concerns. During your consultation we will talk with you in detail and examine you. If we feel we can fulfil your expectations then we will let you know what can be achieved and what that involves.

How many rhinoplasties do you perform a year?

On average around 40-50 rhinoplasties a year.

Do you operate on ‘ethnic’ noses?

The majority of patients who have rhinoplasty surgery with us in Edinburgh are of Caucasian background but we also have a significant number of patients of Middle Eastern and Asian background.

What is your approach toward rhinoplasty?

We take a conservative approach to rhinoplasty avoiding the ‘done’ look and aiming to give a natural ‘unoperated’ appearance. We will be realistic and aim to give you the best idea of what can be achieved.

Will I see examples of your work?

Yes. Some patients have kindly agreed to allow us to use their images on the website (rhinoplasty photos) and many more patients are happy for their images to be viewed during the consultation. You will see a range of results.

How should I prepare for my first visit?

You should have some idea about what you would like changed about your nose. It may be useful to write down any questions you may have. We will need to know your past medical history, including any previous nasal surgery. Some patients do bring photos of the kind of noses they like. This can be useful in helping to assess your needs and expectations.

How long do I need to stay in hospital?

If your surgery involves tip work only (no bony work) then usually it is carried out as a day case and you can go home the same day as your surgery. If your rhinoplasty requires work on the bridge line (bony work) then you will require an overnight stay.

What kind of anesthesia is used?

A general anaesthetic is used in our practice.

How long does a rhinoplasty take?

Depending on the complexity, 1-2 hours.

Is there much pain or nausea after a rhinoplasty?

No. Typically there is not much in the way of pain post operatively. Most of our anaesthetists use total intravenous anaesthesia (TIVA) and generally there is little in the way of post operative nausea.

Do you use nasal packing?

Yes. This is a commonly asked question and the concern is about pain when the packs are removed. We use soft packing which is removed 12 hours after surgery and causes little in the way of discomfort when removed at this stage.

Will I have a splint on my nose after surgery?

We use a low profile aluminium splint whenever bony work has been carried out. If you only require work on the tip of the nose then a splint is not required. The splint is removed after 7 days.

How long does it take to recover?

We suggest that patients take a 7-14 days off work depending on what they have had done (tip work only – few days; infractures – 2 weeks). For most patients, recovery is uneventful. Small amounts of bleeding are common, and your nose will be stuffy. Most patients are presentable in public after removal of the splint (7 days).

How long does it take to see my final result?

The final result is usually present by 6 months. The obvious major changes will be apparent immediately while the more subtle changes do take time to become apparent. Minor degrees of swelling can take months to fully settle down.

Before and after photos