Rhinoplasty (commonly known as a “nose job”) is a cosmetic plastic surgery procedure to change the shape and appearance of your nose, to improve cosmetic issues, or deformities that resulted from an injury. A beautiful nose is one that complements and fits harmoniously with your face, and at Pure Aesthetics we always aim to give you a natural and beautiful nose. A carefully planned and performed rhinoplasty should be subtle, attractive and natural, with improvement in your overall facial balance. Rhinoplasty can also undertaken to relieve nasal obstructions or breathing problems.
Rhinoplasty can be undertaken to correct the following concerns:
- Increasing or decreasing the size of your nose
- Improving the shape of the tip of your nose
- Refining the shape of the bridge of your nose
- Increasing or decreasing the base width of your nose
- Reducing the “hump”
- Improving a crooked nose
Meet your Surgeon
Dr. Robert Knight
Meet your Surgeon
Education and Training:
- Attended medical school in South Africa, and trained at the internationally renowned Baragwanath Hospital
- Awarded a Cyanamid Pharmaceutical Scholarship, the Medical Students Council Award and the Graham Wilkinson Medal
- Member of the Royal College of Surgeons of Edinburgh
- Awarded the LGI cardiothoracic prize and presented at several conferences in London, Stockholm and Cologne
FAQ
How can rhinoplasty help me?
Rhinoplasty is undertaken to improve the aesthetic appearance of your nose, fitting more harmoniously with your face.
Benefits for you may include:
- Improved nasal aesthetics and overall facial appearance
- Increased self-confidence
- Correct nasal breathing problems
Rhinoplasty can also be undertaken to correct nasal obstructions or breathing difficulties, which result in ease of breathing and sleeping better.
The Consultation Process: What to Expect
A consultation with Dr. Merten or one of our other specialist plastic surgeons is the first step when you are considering surgery, and will take approximately 45 minutes. You should frankly discuss your goals and expectations about looking and feeling better after surgery. You should always keep in mind that the desired result is improvement, not perfection.
During the consultation, your specialist plastic surgeon will ask you a variety of questions covering everything from your current health situation, to details about the physical outcomes you desire. Be prepared to talk about current medications, allergies and any past or current medical treatments.
You will receive a detailed and thorough examination of both the internal and external structure of your nose and how it relates to your face as a whole. We will then discuss your options and your surgeon’s recommendations.
The recovery process and any potential complications that could arise will also be discussed. At any time, you are encouraged to ask any questions that you may have.
A second consultation is then performed closer to the date of your surgery, to ensure that you are satisfied with the choices that have been made, as well as go over important details about your recovery.
The Procedure: What Does Rhinoplasty Involve?
Rhinoplasty is performed under general anaesthesia. In open rhinoplasty incisions are made inside the nostril and below the nose. Skin is then lifted such that the nasal structures are exposed. Changes are then made to cartilage and bone, depending on your desired goals. The skin is then draped back in place. Dissolvable stitches are then used to close the incisions, and a splint applied to the outside of your nose.
Will I need to be hospitalised for rhinoplasty?
Rhinoplasty procedures are done in fully accredited day surgeries or hospitals, under general anaesthetic, and take up to three hours. It is an outpatient procedure, meaning you can go home the same day. All surgeries are performed in fully accredited facilities ensuring your safety.
What is recovery after rhinoplasty like?
Advancements in anaesthesia over recent years has meant more comfort for patients – less pain with minimal post operative sedation and nausea and a quick recovery to “feeling normal.” The anaesthetists in my team are highly skilled and experienced in modern techniques and devoted to keeping you comfortable.
Naturally you may feel “woozy” as the anaesthetic wears off. You may feel some soreness, swelling or discomfort, but this is quite natural. You may also feel tired after surgery, but this and the soreness is normal and will last only a short while
A splint is placed across the nose which is used to assist in the healing process and removed approximately 7 days after surgery. Paper tape will be placed across the nose for a futher week.
Results: What and When?
It is imperative to follow the post operative instructions outlined by our team to ensure you achieve the best results possible.
The results from your rhinoplasty will be apparent immediately, however some swelling can sometimes take several months to subsides, with full results emerging after up to a year post surgery. Bear in mind however, that cartilage can reshape over time and slightly adjust the exact new nose size and shape you have established.
When can I resume day-to-day activities?
Most patients return to work within two weeks. Strenuous activity should be avoided for at least 4 weeks.
What are the potential complications from rhinoplasty?
As with any surgical procedure, there are potential risks and complications. These include:
- Infection
- Bruising, bleeding, haematoma formation
- Scarring
- Anaesthetic problems, including deep vein thrombosis
- Allergy
- Pain
Risks and complications specific to Rhinoplasty include:
- Altered nasal sensation
- Assymetry
- Reduced sense of smell
- Persistent, visible swelling for up to one year
- Loss of structural support resulting in a “flattened” nose
- Perforation of the septum
- Airway obstruction
The potential risks and complications of the surgery will be discussed with you in detail at your preoperative consultations.
Will Rhinoplasty leave scars?
In most cases, incisions are made in inconspicuous places and are barely visible. Any scarring gradually fades over time.
What else should I consider before having Rhinoplasty surgery?
Emotional stability is the primary factor to be considered before any aesthetic surgery is performed. It is mostly your mental attitude and realistic expectations that determines a successful outcome. A Rhinoplasty can improve your appearance and renew your self-confidence; the rest is entirely up to you.
To understand what is reasonable to expect from the surgery, it is a good idea to look at before and after photos. This will give you a good perspective of what results other patients have achieved through Dr. Merten’s work.
Before deciding to have this procedure, you may want to consider your planning for the healing period. Will you need help or assistance from others?
Do you have any more questions?
Please feel free to contact us with any additional questions that you might have about this procedure. Our team will be happy to address any concerns that you may have.
Nose (Rhinoplasty) Before & After Photos
