Nose Surgery is known as Rhinoplasty.
It can be performed for both functional (breathing) problems as well as cosmetic reasons. Very often these are both performed at the same time.
Alterations to the shape of the nose and techniques to improve nasal breathing are performed by making a small incision on the bridge of skin between the nostrils, this is accompanied by internal cuts.
This incision allows access to the internal structures in the nose which include the bone and cartilages that determine both breathing and nasal appearance. Bone or cartilage is either added, removed or manipulated dependent of the desired result. Sometimes cartilage or bone has to be harvested elsewhere on the body such as the ear or a rib.
Rhinoplasty is often performed in combination with a Face/Neck lift, browlift, blepharoplasty and other facial rejuvenation treatments such as skin resurfacing, chin liposuction and volume replacement with fat transfer.
Rhinoplasty is performed under general anaesthesia and if performed in isolation, can be performed as a day case operation which means you can go home the same day as the surgery.
Nose Surgery is known as Rhinoplasty.
It can be performed for both functional (breathing) problems as well as cosmetic reasons. Very often these are both performed at the same time.
Alterations to the shape of the nose and techniques to improve nasal breathing are performed by making a small incision on the bridge of skin between the nostrils, this is accompanied by internal cuts.
This incision allows access to the internal structures in the nose which include the bone and cartilages that determine both breathing and nasal appearance. Bone or cartilage is either added, removed or manipulated dependent of the desired result. Sometimes cartilage or bone has to be harvested elsewhere on the body such as the ear or a rib.
Rhinoplasty is often performed in combination with a Face/Neck lift, browlift, blepharoplasty and other facial rejuvenation treatments such as skin resurfacing, chin liposuction and volume replacement with fat transfer.
Rhinoplasty is performed under general anaesthesia and if performed in isolation, can be performed as a day case operation which means you can go home the same day as the surgery.
What is the aim of Rhinoplasty surgery?
To enhance the appearance of the nose and also to improve nasal breathing
How long will the results last?
As we become older our noses do change because of changes in the facial skeleton. They become wider and the nasal tip drops. These changes are subtle.
Therefore, the results of a rhinoplasty are very longstanding despite the above changes with age.
Dr Rory ensures you have critical nasal support (despite changes your nasal features) that will ensure the shape of your nose will be stable over time.
What happens on the day of surgery?
Prior to the day of surgery you will be given the following information and it is critical to know these details ahead of time:
On the day of surgery you will be checked in by a nurse and all your details will be confirmed and you will be changed into a surgical gown.
Dr Rory will see you before your surgery to run through all the details of the surgery, the consent forms as well as performing all your surgical markings. Multiple ID checks and procedure confirmation will be performed prior to your operation as safety is a priority.
After your surgery Dr Rory will notify your friends or family to let them know the procedure has finished and put their mind at ease. Depending on the procedure he will see you after the surgery and discuss the procedure.
When you are feeling comfortable, the team will then allow you to be discharged as planned that morning. All medicines and instructions will be given to you on your discharge.
How long will the surgery take?
If done in isolation, the surgery takes approximately two to three hours. This is somewhat variable and depends on the complexity of the particular case.
This does not include anaesthesia time. In total, the whole procedure may last longer.
Will the procedure be painful?
One of the primary aims of any procedure performed by Dr Rory is to create a pain free experience.
A long acting local anaesthetic agent is injected at the end of the procedure within the wound to make you comfortable.
In terms of recovery, there will be some tenderness in the surgical area and some discomfort as well as swelling in the areas around the eyes. There can be bruising extending round both eyes.
You will have a firm nasal splint on the nose to help support any bone healing and internal silicone splints are placed to help breathing immediately after the surgery.
What is the recovery period?
This is a major procedure and so the recovery is two weeks. For the first two days, careful use of ice packs are recommended.
Some antibiotic ointment will be prescribed for your to use in the first seven days on the stitches in between the nostrils.
Internal splints are removed at day four and stitches at day seven.
The hard nasal splint is removed at day ten.
During this time you can fully mobilise and are encouraged to walk around. In addition, you are advised to sleep with three to four pillows to elevate your head in order to further reduce swelling.
You should avoid bending over, strenuous activity or heavy lifting for two weeks.
Rhinoplasty swelling is slow to resolve taking approximately a year so final results are only apparent at this stage.
What should I consider when recovering from the procedure?
All the stiches are removed at one week, however the eyelid area is so delicate bruising and swelling can persist for two weeks and sometimes longer.
Steri strips can be applied at night and extra pillows can be used to elevate the head at night to reduce swelling.
Rhinoplasty swelling is slow to resolve taking approximately a year so final results are only apparent at this stage. The last area to resolve is the nasal tip.
The final appearance of your scar will be at 18 months.
What is the cost of the procedure?
If performed alone, the cost of the procedure varies depending on the extent of the surgery but starts at 45,000 AED (excluding VAT). This is somewhat variable and depends on the complexity of the particular case.
The final cost is determined on a case by case basis dependent on individual concerns and additional procedures. Combination surgeries will lower the price of individual surgeries if done together.
A full surgical no-commitment consultation with Dr Rory will provide all the necessary details for your particular case.
What are the risks of the procedure?
These include some discomfort, infection, risk of bleeding, peristant swelling, asymmetry, contour irregularity, ongoing nasal breathing problems, watery eyes, visible steps in the scar.
The results in terms of resolution of swelling and bruising will be at approximately two weeks. This varies between patients.
On going swelling up to twelve months is common and so final results are only visble at this stage.
Anything in particularly important I should know about the procedure?
It is an artful and technically demanding procedure with high satisfaction rates if performed in the appropriate individuals with realistic expectations.
The scars are well hidden and Dr Rory aims to make you look as natural as possible. Therefore planning and discussing your goals is critical.
After the surgery alterations to nasal shape are apparent but patience for the final results at twelve months in necessary.
What is the follow up after the procedure?
Each patient has a follow up schedule that is different.
You will be advised by Dr Rory and his team your particular follow up journey.
Typically it involves seeing the team at day four for removal of internal splints, a week after surgery for a wound check and removal of stitches and a day ten for external splint removal.
Thereafter, scar and nose checks are performed at the six week point and then therafter depending on the case. This schedule will differ between individuals.
Who is involved in my care?
Dr Rory is the primary physician in charge of all your care. He performs all procedures himself and is meticulous about every aspect of your care.
Once he has performed a procedure on you he is available for you as your on-call doctor.
He will provide you with contact details and will be available for you. If you have any questions or concerns at any time he is available to support you.
He has trained his team around him to an exceptionally high standard from his aesthetic coordinators to aesthetic nurses.
In some instances, for example, for photography, garment fitting, wound dressings, checks or removal of stitches, his highly trained team will perform the care liasing directly with Dr Rory with real time updates.
