Mr A. O. Grobbelaar  MBChB  MMed(Plast)  FCS(SA)(Plast)  FRCS(Plast)

Rhinoplasty

 

Introduction

A nose can either be made bigger or smaller both from the front or the profile. In addition more subtle changes can be made to improve the projection of the tip, straighten the nose or improve the airway. The size and shape of the nostrils can also be altered. The changes made to a nose should always be made bearing in made the patient's cultural and ethnic origin as well as the overall balance of the face. Particular attention should be given to the size and shape of the upper and lower jawbone. The thickness of the nasal skin will also determine how much can be done. It is very difficult to make subtle changes in patients with very thick skin.

Surgery

It is normally done under a general anaesthetic although smaller changes, especially to the tip may be carried out under a local anaesthetic with some sedation. At least one day's hospital stay is usually necessary. Normally most of the scars are on the inside of the nose and not visible at all. In certain cases it may be necessary to have a small scar across the skin between the nostril or in the fold at the side of the nostrils. Various materials may be used to augment the size and profile of the nose e.g. cartilage, bone, or synthetic materials. This will be discussed in detail should it be necessary in your particular case. At the end of the operation a small splint will be fitted over the nose to protect the nose from accidental injury and the nose will be packed to assist in stopping any bleeding.

Complications

The undesired result is the most important potential complication. Therefore, a thorough discussion of you expectations and the limitations to your expectations is very important. Most patients considering rhinoplasty have at least two consultations and detailed discussions of possibilities with the help of photographs. The scars are most of the time on the inside of the nose and not visible. Spotting of blood is common in the early period after the operation. The nose may feel numb but the feeling does improve with time. Swelling and bruising can be marked especially under the eyes if the bones of the nose need to be altered.

After the surgery

You are normally able to go home after the first night in hospital. The splint will be removed after 10 days. Most of the bruising disappears after 2-3 weeks but the final result of the operations should only be judged after 6 months to a year when every thing has healed. Sleeping with a few pillows will help with reducing the swelling. The nose will be blocked for the first few weeks due to the swelling on the inside of the nose. Most patients easily adapt to breathing through the mouth in the early phase of the surgery.

If you require further information or want to schedule a consultation please contact Mr. Grobbelaar's secretary details on the Contact page.