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Nose reshaping (rhinoplasty) is used to correct obvious cosmetic issues of how the nose looks and whether it is in proportion with your other facial features, as well as functional problems including breathing obstructions and traumatic injuries.
The most common aesthetic complaints regarding the nose are:
As we age, gravity and the gradual eroding of the nasal support structures cause the nose shape and position to change: it may appear more bulbous and longer and the tip eventually droops.
Our surgeons have many more options for reshaping the nose than simply reducing the size and shortening the tip. Some noses need to be lengthened, augmented or narrowed for the best aesthetic result. So it’s possible to have a much more natural-looking nasal correction nowadays.
Rhinoplasty is usually performed under general anaesthetic. Incisions are made inside the rim of the nostril and, in some cases, on the rim of the nose, to reduce the width of the nostrils. In an ‘open’ rhinoplasty, an incision is made at the base of the nose, and soft tissues are separated from the underlying structures so that the cartilage and bone can be reshaped.
If the nose is being reduced in size, the nasal bones may be built up in certain areas. Breathing problems can be corrected by reducing obstructions and improving the airway. Depending on the techniques used, a splint may be placed on the bridge of your nose to hold the tissues in place and to protect your nose.
A splint is generally applied to the nose for five to seven days, while the bones are setting. The nose may be packed lightly with medicated gauze, which is removed after 1or 2 days. You may have a little bleeding from the nose. Internal stitches will be self absorbing, so they will not require removal; if there are external sutures, they will be removed 5 – 7 days after your operation, along with the splint.
There will be some swelling, pressure and stuffiness for several weeks, but you can usually resume light activity after a few days. Avoid contact sports or any activity that may risk injury to the nose for four to six weeks. You will also need to be careful not to blow your nose too forcefully, to avoid bleeding.
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