What Is Rhinoplasty?
Rhinoplasty is an advanced plastic surgery procedure designed to enhance the appearance of the nose. Often referred to as a “nose job,” rhinoplasty can also be performed to correct functional nasal issues, such as a deviated septum, which may be causing breathing difficulties.
Who Is a Candidate for Rhinoplasty?
Before a rhinoplasty can be done, you must be healthy enough to undergo both the procedure and its recovery process. During your consultation, Mr Townley will evaluate your general health, including any existing medical conditions, and perform a physical examination. He uses computer-simulated imaging to generate a preview image to give you an idea of how your nose may look after surgery. He will also thoroughly discuss the process with you to make sure you are physically and mentally prepared. (Please also note that you may not smoke for at least six weeks before the procedure.) If surgical rhinoplasty is the ideal option for your needs, he will develop a customised treatment plan designed to meet your expectations.
Complementary Procedures to Rhinoplasty
To enhance the aesthetic quality of your new nose and the overall facial balance/profile, consider the following procedures as well:
- Chin augmentation
- Neck contouring
- Chin liposuction
- Short-scar neck lift
In our experience, these in combination with rhinoplasty can vastly improve the symmetry and balance of many patients’ profiles. In addition, many patients choose to combine rhinoplasty and breast augmentation, breast reduction, or breast lift surgery to get the best of Mr Townley’s expertise and reduce overall recovery time.
Feel free to discuss additional procedures with Mr Townley at your consultation.
What Concerns Can Rhinoplasty Address?
There are a variety of reasons why individuals may be self-conscious about the appearance of their nose. Rhinoplasty offers an array of advantages for patients who would like to effectively address these issues. This treatment is often performed for individuals who would like to:
- Increase or decrease the general size of the nose
- Straighten a “crooked” appearance
- Modify the projection/angle of the nasal tip
- Give the nostrils a smaller or wider appearance
- Remove “humps” or “bumps” in the bridge of the nose
- Recontour the bridge to create a thinner or wider appearance
- Enhance overall symmetry and aesthetic balance
- Correct a deviated septum to improve nasal breathing and reduce congestion
Open vs. Closed Rhinoplasty
There are two types of incisions in rhinoplasty: the “open” and “closed” rhinoplasty approaches. “Open” rhinoplasty requires a discreet incision to be made along the columella (the strip of tissue just under the nostrils). This typically allows for excellent visibility, an accurate adjustment to the structure and shape of the nose, and – most importantly – use of the Piezo technique for bone sculpting. The scar generally becomes virtually undetectable with time. Meanwhile, the “closed” strategy involves incisions made within the nostrils, and may be appropriate for patients seeking a more minor adjustment.*
Both techniques have their merits, and the choice between open and closed rhinoplasty will be discussed at consultation. Generally, Mr. Townley favours the “open” approach for the vast majority of rhinoplasties due to its greater predictability in helping achieve your aesthetic goals and facilitating use of the ultrasonic technique.
What Is Ethnic Rhinoplasty?
Ethnic rhinoplasty focuses on altering the shape and structure of the nose while taking into consideration the unique features of individuals from specific cultural backgrounds.* As a medical professional with profound knowledge of the human facial anatomy, Mr Townley is mindful of the role ethnicity plays in the appearance of the nose. When planning the strategy for your treatment, he will be mindful of the particular features you wish to enhance or preserve.
What Does the Rhinoplasty Consultation Involve?
Your consultation with Mr. Townley is an essential first step in the rhinoplasty process. At this initial appointment, he will evaluate your facial structure, skin type, and nasal anatomy to determine the most suitable approach for your desired outcome. You will discuss your medical history, including any past nasal surgeries or breathing issues.
Using advanced imaging software, Mr. Townley will provide a clearer view of potential results, allowing you to discuss your goals, ask questions, and explore the possibilities for your procedure. This consultation is a valuable opportunity to plan your surgery while ensuring you feel comfortable, informed, and confident about moving forward.
What Does the Rhinoplasty Procedure Entail?
Rhinoplasty is performed while the patient is under general anaesthesia (asleep). Most patients go home on the day of surgery, although an overnight stay is possible. The procedure usually takes approximately two to three hours to complete. A variety of techniques and manoeuvres are utilised to address the specific concerns and goals of each patient. Most techniques require a discreet incision to be made along the columella (the strip of tissue just under the nostrils) – so called “open rhinoplasty.” This allows for an accurate adjustment to the structure and shape of the nose with scarring that is virtually undetectable.
Once the incisions are made, Mr Townley will carefully and precisely reshape the nose to create the desired result. Mr Townley uses an ultrasonic technique to adjust the nasal bones – this is a modern “state-of-the-art” technique that provides a very accurate reduction and polished contour. It has also been shown to reduce swelling and bruising and therefore facilitate recovery.
A silicone splint is placed on the nose and a few small sutures under the tip, which are removed after one week. Nasal packing is not routinely used.
What is Ultrasonic Rhinoplasty?
Mr Townley uses a contemporary technique involving ultrasonic energy for bone reshaping during the rhinoplasty to remove bumps, narrow nasal bones, and correct asymmetries. Ultrasonic (or Piezo) rhinoplasty avoids the need for a hammer and chisel (which is still the dominant technique used by most rhinoplasty surgeons), thereby allowing greater control and precision. In addition to delivering a more polished look, ultrasonic rhinoplasty reduces soft tissue trauma and, therefore, bruising and swelling after surgery.
What Can I Expect During Recovery from Rhinoplasty?
Patients can expect some degree of swelling and bruising in the nasal area following rhinoplasty. For about two to three days after the procedure, some patients experience oozing from the nose and in the back of the throat. These effects are normal and should subside over time. Medication can alleviate any potential discomfort during the recovery process.
Most individuals who undergo rhinoplasty surgery are able to resume normal daily routines within approximately one to two weeks, or as recommended by Mr Townley. We can provide you with more detailed recovery expectations once you have been examined and a treatment plan has been created.
Rhinoplasty Before & After Pictures
Can I Expect Rhinoplasty Scars?
In most cases, rhinoplasty leaves patients with little to no visible scarring due to the extra steps taken to protect the face during surgery, as well as placing incisions in inconspicuous areas. However, there is always a small possibility of scarring. Rest assured that Mr Townley will plainly discuss the risks of scarring with you before you go forward with the procedure.
How Long Do Rhinoplasty Results Last?
Rhinoplasty is designed to provide a long-lasting, enduring improvement to the appearance and function of your nose. Once the healing process is complete, the changes made during surgery are generally permanent, with the nose typically maintaining its new shape.* While ageing is a natural process that can subtly affect facial features over time, the enhancements achieved through rhinoplasty should remain stable. Moreover, if you follow post-surgery care guidelines and maintain a healthy lifestyle, you are likely to enjoy the benefits of rhinoplasty for a lifetime.
What Risks Are Associated with Rhinoplasty?
While rhinoplasty is widely considered safe when performed by a Consultant Plastic Surgeon, the possibility of complications exists, as is the case with any major surgery. The ultrasonic method limits the likelihood of swelling and bruising, but some patients may still experience these side effects to a certain degree. Other potential risks of rhinoplasty include scarring, discolouration, or infection; however, please note that these phenomena are much rarer, and Mr Townley will take every precaution.
How Much Does Rhinoplasty Cost?
Pricing will vary depending on several factors, including hospital stays and the complexity of your surgery. That said, pricing for rhinoplasty at our practice generally goes as follows:
- Ultrasonic Rhinoplasty: £12,000
- Septorhinoplasty: £12,500
- Revision Rhinoplasty: £13,500
We will provide you with a cost quote specific to your needs during your consultation. Meanwhile, please feel free to direct any financial questions to our office.
How to Choose the Right Rhinoplasty Surgeon
To undergo rhinoplasty can be a major life decision. As such, it is crucial to have a qualified and experienced plastic surgeon on your side to ensure you can achieve your desired results. An ideal surgeon will be attentive to your wishes while relying on his or her medical expertise to make them a reality.
First and foremost, make sure the surgeon you choose is qualified. Consultant Plastic Surgeons, such as Mr Townley, have earned the highest certification in the plastic surgery field and have undergone many years of training. They will often be able to provide you with patient testimonials and before-and-after photos to give you a sense of their work.
Your surgeon should also be open to communication. You need to be able to trust your surgeon and comfortably ask questions.
What Is Revision Rhinoplasty?
Generally considered more a reconstructive surgery than a cosmetic procedure, a revision rhinoplasty aims to alter the effects of a previous nose surgery. When the initial surgery was performed by an experienced provider, adjustments to the results are typically not requested; however, patients may wish to address front profile issues, functional concerns, or other phenomena.
Because of the meticulous skill needed to perform a revision rhinoplasty, we advise you to entrust the procedure to a seasoned medical professional (i.e., a Consultant Plastic Surgeon or Rhinologist).
Is There a Non-Surgical Alternative to Rhinoplasty?
Currently, rhinoplasty is the only cosmetic procedure that can restructure the inner and outer parts of the nose to improve both its appearance and function. In other words, no other procedure can achieve the same effects. That said, certain non-surgical treatments can temporarily produce an aesthetic improvement similar to that of rhinoplasty, albeit on a much smaller scale.
A “liquid rhinoplasty” employs dermal fillers to add volume, smooth bumps, and create a more symmetrical facial profile. It should be noted, however, that dermal fillers cannot combat a deviated septum or other breathing issues, nor can they yield long-lasting or permanent results like rhinoplasty. Finally, fillers can only make the nose bigger and the majority of patients are looking for a smaller nose. Mr Townley will gladly help you determine whether you are better suited for traditional or liquid rhinoplasty after a thorough consultation.
Rhinoplasty vs. Chin Implants
The nose and chin are sometimes said to work together when it comes to balancing the facial features. For instance, if the chin is too small in proportion to the rest of the face, the nose can appear larger and disrupt the entire façade. For this reason, many rhinoplasty patients choose to incorporate chin augmentation with implants into their facial enhancement procedure.
Additional Rhinoplasty FAQs
Is rhinoplasty painful?
How long does it take to heal from rhinoplasty?
How do I reduce swelling and bruising after rhinoplasty?
Because the ultrasonic technique we use limits the possibility of swelling and bruising, most of our patients do not experience a significant amount of either during their rhinoplasty recovery. Keep in mind, though, that results vary between patients. Those who notice swelling can benefit from elevating their head, using cold compresses, or taking slow walks to increase blood flow (note that strenuous exercise should be avoided for several weeks).
Mr Townley’s team sends detailed instructions to patients before every surgery to help them prepare. These instructions include strategies to reduce swelling and bruising, and may include recommendations with regard to specific medications or supplements. If you notice an abnormal amount of swelling or bruising during recovery, contact our office right away.
How long does swelling last after rhinoplasty?
Will my rhinoplasty results look natural?
Can rhinoplasty improve my breathing?
How does rhinoplasty differ between men and women?
Can I wear glasses after rhinoplasty?
Mr Townley generally discourages patients from wearing glasses during the rhinoplasty recovery process (or for the first eight weeks after surgery), especially if the surgery involved intensive enhancement of the bridge of the nose. Prematurely wearing glasses can put pressure on the bridge of the nose and potentially harm the results.
Some patients are able to wear glasses during recovery if the majority of restructuring was performed elsewhere on the nose. Mr Townley can help you determine whether it is safe for you to wear glasses as you heal after a plan for your surgery has been finalised.
When can I smoke after rhinoplasty?
Will I need a cartilage graft with rhinoplasty?
Would you like more information on rhinoplasty? Please contact us today with questions, or to schedule a consultation with Mr Townley.
Medical Resources*
University of California San Francisco
UT Southwestern Medical Center