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Rhinoplasty in London
Nose restructuring surgery can improve both aesthetic appearances and physical limitations. Your nose can be restructured to alter the shape, size and projection of the bridge and nasal tip, and reconstruct your septum. The approach to surgery will be tailored to you depending on your individual concerns, facial proportions, aesthetic goals and limitations.
Nose Restructuring Surgery
The type of nose restructuring surgery will vary from patient to patient. Your surgery may combine one or more of the following surgical techniques to help you achieve your desired outcome.
A Rhinoplasty surgery focuses on the aesthetic concerns of altering your nose. In this procedure, the shape and size can be transformed to be more aesthetically pleasing. The most common Rhinoplasty procedures include:
Augmentation Rhinoplasty involves altering the nose to improve its shape. This is a common procedure for patients who feel like their nose lacks definition, length, or who find their nose has an unappealing overall shape to it such as when a patient suffers from congenital abnormalities. This surgery enhances and augments the nose by using autogenous tissues or a silicone implant.
Reduction Rhinoplasty is the most common type of Rhinoplasty for both men and women worldwide. This surgery aims to reduce the overall size and volume of the nose. Reducing the size of the nose can dramatically improve the proportions and visual harmony of the face. The areas of reduction commonly include the nostrils and improving the appearance of irregularities and bumps on the bridge of the nose. This procedure can be further distinguished.
For aesthetic changes associated with the nasal tip, a tip refinement surgery may be the procedure of preference. A tip refinement works with the lower third of the nose, preserving the rest of the nasal structure. This procedure would be best for those with a large or bulbous nasal tip.
Alar Base Reduction
This approach focuses on the width of the nostril areas. It would be suitable for those who are concerned with the overall size and width of their nostrils. During this procedure, the width of the nostril base is narrowed.
Post-trauma rhinoplasty is the term used in instances when a patient has suffered trauma to the face and has experienced damage to their nose and its structure as a result. This sometimes leads to changes in shape or asymmetry. The surgeon will, therefore, rebuild the nose to restore its original appearance as much as possible.
A Septorhinoplasty reshapes your nose and your septum (the cartilage that divides the two nostrils inside the nose). It can subtly alter the appearance of your nose and improve breathing difficulties. This type of surgery addresses both aesthetic and medical concerns.
Unfortunately for some, a Rhinoplasty may not always provide the outcome desired. What’s worse is that sometimes the performing surgeon is unwilling to take accountability and to correct the problem by performing a revision Rhinoplasty. This scenario can be devastating, but Dr Yannis Alexandrides has substantial experience in revision rhinoplasty and has over 20-years-worth of experience of correcting unsuccessful surgeries.
Dr Alexandrides’ extensive training as a board-certified reconstructive craniofacial surgeon has enabled him to master primary bone grafting and tissue replacement techniques. These are critical to the delivery of successful revision rhinoplasty surgery. He is also able to treat congenital or acquired conditions connected to the nose.
Your nose restructuring surgery begins with a consultation with your surgeon. During this time, we will discuss your visual goals and expectations as well as any limitations you may have. The type of surgical technique that will be adopted will depend on your existing facial anatomy, visual goals and suitability for the procedure.
What does the procedure involve?
Depending on the technique involved, the surgeon will make an incision in the inside the nostrils (closed), or on the underside of the middle area between your nostrils (closed). A closed incision will leave no visible remaining scars. This approach may be taken if cartilage needs to be removed or changes to the bone structure need to be made. A closed incision will leave a very small scar that is virtually undetectable to the naked eye due to its location. This option is usually favoured if changes to the tip are to be made.
During the operation, alterations to your nose will be made according to your pre-discussed decisions. This might include trimming, clipping or repositioning the cartilage (for tip elevation or reduction), dorsum reduction (for a reduction in the size of the nose or shape of the bridge), or repositioning of the septum (for breathing difficulties).
A Revision Rhinoplasty, however, can be more complicated… it’s not possible to correct the nose until at least six months have passed since the original surgery. This time allows any issues connected with it to become fully apparent. The procedure itself can be difficult, especially if the outcome has resulted in breathing difficulties or if too much of the bone has been removed.
Frequently Asked Questions
Who is the procedure suitable for?
The ideal procedure for a nose reconstruction surgery would be someone who wishes to make changes to the appearance of their nose due to its shape or size or is having breathing difficulties.
It’s important that patients have realistic expectations about the results that they can expect to achieve.
When can results be seen?
Over the course of 6 months to a year, your nose will continue to change shape. During this time swelling should reduce, and you should start to see the final results towards the end of 1 year. Improvements will be visible after around 5 or 6 months.
How long will the results last?
The results of a Rhinoplasty procedure last a lifetime, however, as you age, the cartilage and underlying bone structure can begin to weaken which can make the nasal tip droop. Other changes could occur if your nose was broken in some way.
How long is recovery?
The speed of recovery varies from patient to patient. You will be required to wear a nasal splint for the first week. You may experience swelling which should subside within several days. You may also see significant bruising around the eye and nose area which will continue to improve over the course of 2-3 weeks. You may also experience discomfort during this time. Some patients can experience a stuffy sensation up the nostrils, and the nose may become runny with fluid or blood.
How long does the procedure take?
The surgery time depends on the extent of the procedure. It can vary from 1 hour to up to 4 hours.
What are the risks associated with surgery?
As with all surgeries, there are risks. Some of the risks may include:
- Unsatisfactory result: The nose can continue to change for up to a year after surgery. Some patients are disappointed not to see an instantaneous and dramatic change. You should adjust your expectations to be as realistic as possible in order to be happy with your results. Your surgeon will attempt to exceed expectations, but there may always be limitations.
- Anesthesia risks: If you go under general anaesthetic there are more risks involved.
- Infection: As with any surgery that involves an incision, there is always the possibility of infection. You can take active steps to try to avoid this.
- Poor wound healing or scarring: We encourage patients to stop smoking before the surgery as this can impede your speed of recovery.
- Difficulty breathing: In the recovery phase, you may find it more difficult to breathe through your nose.
- Numbness or pain: Pain can be managed with medication. You may experience temporary numbness. Nasal tip numbness can be a side effect of surgery.
- Perforated septum: In rare and unfortunate incidents, a hole can appear. The symptoms associated can be unpleasant and unfortunately, a perforated septum cannot be repaired.
- Skin discolouration: Damage to vessels can cause discolouration of the skin.