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Why does Rhinoplasty produce significant results?As the nose is a central focal point of the face, where all the features come together, it is through Rhinoplasty where some of the biggest facial transformations are created. Plastic Surgeons, including Dr Yannis, the best Rhinoplasty surgeon here at 111 Harley St. can apply the Golden Ratio concept to their Rhinoplasty cases to ensure a positive aesthetic outcome. The Golden Ratio can be used to help determine the best nose shape for you and is a technique that approaches facial aesthetics and beauty through a mathematical lens. The Golden Ratio exists in all creative industries, in art and design especially, and can be traced back to Ancient Greece (perfect as Dr Yannis is the Greek Plastic Surgeon on Harley Street!) – where it was originally called the ‘Divine Proportion’. This proportion was established as a ratio of 1:1:618. So, when applied in Plastic Surgery, a ‘divine proportion’ is that your nose takes up 1/6 of your face. Of course, this is not a golden rule, no matter what the name ‘golden ratio’ implies – however it can be useful to help you decide which Rhinoplasty is right for you or what part of your nose you’d like to change. For example, depending on your concern, there are some suitable Rhinoplasty options. Before we get into which Rhinoplasty is right for you, here is a diagram of the parts of the nose.
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If you’d like to change the width of your nose, an Alar Base Reduction may be suitable to for you. An Alar Base Reduction focuses on reducing the width of the base of the nose and narrow the width of the nostrils. It is suitable for people that have an overly wide or flared nose which can contribute to the facial features looking unbalanced – so to ensure facial harmony is restored, sometimes performing an Alar Base Reduction with a Rhinoplasty can yield the most transformative results.
If you’d like to reduce the appearance of the bridge of the nose or a bump in the nose, a Septorhinoplasty may be recommended. This is a type of Rhinoplasty surgery that targets the septum and the nasal bone. The septum is the name of the cartilage that divides the nostrils, and this is a procedure that can help to improve breathing difficulties – helping both aesthetic and medical concerns you may have.
It should be noted that many Rhinoplasty surgeries can be performed in both an Open or Closed Technique. The main difference between an Open and Closed Technique is that with the Closed Technique, all incisions are made within the nose so there are no external scars. With an Open Technique, Dr Yannis will make incisions across the alar rim (which is the part of the skin around the nostril) which while it does mean external scarring can occur, it is minimal because the incisions are hidden in the crease of the nostrils or across the septum. Both techniques produce amazing results, and one is not better than the other, it is merely a decision your Plastic Surgeon will made depending on your goals.
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If you’d like to reduce just the tip of your nose, we recommend Nose Tip Surgery. Tip Refinement is another name for this type of Rhinoplasty and it can be performed under local anaesthesia in our Harley Street theatre and usually completed in under an hour. It is a minor surgery that works on the lower third of the nose (which some say is the most visible part of the nose) and on the lower lateral cartilage. Tip Refinement is a popular option because it preserves the rest of the nasal structure. It is ideal for those with a large or bulbous nasal tip.
We sometimes refer to this type of Rhinoplasty as a Mini Rhinoplasty because it still produces great transformations, just without the recovery of a full Nose Job
So, above are our top Rhinoplasty procedures and for more information, we’ve answered the following questions to help inform you about all things Rhinoplasty-related.
The techniques of a Rhinoplasty can vary depending on whether the nose job is performed in an Open or Closed Technique. A Rhinoplasty is performed using medical tools that work to augment the bone and cartilage of the nose. Some of the tools used during a Rhinoplasty will be a Piezotome, which is an ultrasonic device perfect for sculpting the bone. A more manual tool that works in a similar way to a Piezotome is a rasp. These come in all sizes and lengths and look a little like a file. This instrument offers more manual altering of the nose bone. Other instruments used to perform a Rhinoplasty are nasal scissors, a splint to make your nose cast, sutures, and suction tools.
A typical Rhinoplasty is performed under general anaesthesia meaning you’ll be asleep during your procedure. Before going under general anaesthetic, it is important not eat in the 6 hours prior to your surgery as this can increase risks. You should be able to drink water up to 2 hours beforehand, and if you have any other questions regarding anaesthetic, you can speak to our Head Anaesthetist, Dr Hish.
On the day of your surgery, you’ll arrive at your designated hospital clinic. We have partner hospitals in Battersea, Chelsea and Harley Street. You’ll be greeted by the team and taken to a private room to change into your surgical gown. Next, Dr Yannis will come and see you and discuss one last time exactly what you want to achieve from your surgery. He will then mark your nose and you’ll be ready to go into the theatre to have your anaesthesia administered
Your surgery will usually be performed in around two hours.
Immediately after the surgery, you may feel a little sleepy or nauseaous, which are all common side effects of general anaesthetic. However, this can vary from person to person and generally a lot of patients have very slight after-effects and will be ready to go home not long after the surgery.
However, while you may be feeling fine, we do advise that you ask a friend or relative to drive you home after your discharge from the hospital.
Dr Yannis will give you pain relief and potentially antibiotics to ensure your first few days are comfortable. Some of our patients don’t take the full course of pain relief and stop three days following their surgery, so this shows that recovery is already better than they expected.
Some common things not do after Rhinoplasty are:
Get the cast wet, you can wash your body and the face around the nose but do not directly wet your nose cast.
Drive. We advise you do not drive or operate any heavy machinery until your Harley Street surgeon says so.
Sleep with your head unelevated. If you can, sleep on your back for the first week or so, with your head raised.
Drink alcohol, smoke or undergo intense exercise. It is advised to avoid alcohol and smoking as this can bring out, or make any, bruising worse, cause more stress on the body and delay healing. Intense exercise can also do the same as well as cause potential pain and damage to the nose.
Blow your nose. While it is very common to feel very congested after a Rhinoplasty, please avoid blowing your nose as this can affect the internal stitches and knock things out of place. Once you have your first follow-up, around 7-10 days after, our Surgical Team will be able to remove your nose cast and you should be able to gently clean your nose with a saline spray or something similar.
There can be stitches inside the nose which are dissolvable sutures and there can also be external stiches on the alar rim or across the septum. It can depend on the technique used by your Plastic Surgeon.
If anything, Rhinoplasty can improve breathing and a lot of Dr Yannis’ patients come to him because they not only want to change their nose but also want to improve their respiratory functions. By removing some of the lower lateral cartilage, or correcting a deviated septum, patients can breathe more easily.
Some are. The ones made inside the nose gradually dissolve. The ones on the outside of the nose must be removed by a medical professional once the incision has completely healed.
For more information on Rhinoplasty, please get in touch with our team to book your initial consultation!
YOUR SURGEON
Dr Yannis Alexandrides MD FACS
Not only 111 Harley St.’s Founder and Medical Director, Dr Yannis is also our triple-board certified resident doctor.
Facelifts are a speciality of his that has been crafted through his over 20 years of medical expertise, deep understanding of the ageing process and extensive knowledge of facial anatomy. He is also a pioneer of facelifts with his eponymous Y Facelift technique and the founder of 111SKIN.
Alongside creating exceptional transformations, his excellent eye and skill has ensured that 111 Harley St. remain at the forefront of surgical innovation.
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