As is so often the case in nature, form follows function. What we require from our nose is that (A) it works well and (B) it looks good!

The most likely reason why your nose is not the perfect shape is because of a structural problem within that may eventually lead to a functional problem too. Of all cosmetic operations, a rhinoplasty (nose job) is undoubtedly the most challenging. A nose operation is a delicate procedure and requires the expertise and skills of an ENT (ear, nose and throat) surgeon with a particular interest and training in this procedure, it is not for the occasional rhinoplasty surgeon.

The ENT surgeon is uniquely placed to deal with both the requirements of the nose. Failing to correct the functional components, it is unlikely that the cosmetic aspect can be adequately addressed either.

During your first consultation, you can expect to be asked about the full history of nasal and sinus symptoms as well as any general concerns relating to cosmetic aspects. If the medical history is significant, a CT (Computer Tomography) scan of the nose and sinuses will be requested. Preoperative photographs will be taken for cosmetic rhinoplasty and a discussion with you as the patient will take place to determine what you dislike about your nose and how you envision for your nose to look after your nose operation.

Before and after photographs of other rhinoplasty patients with similar issues may be discussed with you. We do not endorse the use of morphing picture technology; substantial research shows this can lead to unrealistic expectations from patients.

Rhinoplasty surgery is typically carried out under general anaesthetic with a recommended overnight stay in the hospital. A plaster cast is normally placed on the nose at the completion of the operation, and should remain on for a week postoperatively. Preoperatively you will be informed about how to care for your nose post surgery - both on the day of the consultation and on the day of the surgery.

Written instructions are provided postoperatively too. Your surgeon will visit you after the operation and prior to you being discharged. You can expect the surgeon to remove your cast at the first postoperative visit that takes place one week after the surgery. Postoperative photographs are usually taken after one month.

You can be assured that nose reconstruction surgery is far less painful than you might imagine, although adequate analgesia is provided for pain when you are discharged after the surgery. It is usually a requirement to rinse the nose with a saline solution for a few weeks after the operation and for you to take care of any suture lines present for at least the first week. This information is also thoroughly explained and reiterated in the postoperative instruction sheet. Patients may expect some bruising under the eyes for the first week postoperatively.

What you can expect to look like one week after the operation, the day your cast will come off:

Nose Job
Nose Job - After a week