Nose Surgery (Rhinoplasty)

Rhinoplasty
The development of rhinoplasty occurred primarily as a plastic surgery technique to restore a proportional nose shape, or to correct for constricted breathing, whether after injury or due to a birth defect. In addition to these corrective procedures, surgeons now use this extremely popular cosmetic procedure to perform subtle aesthetic changes to nose size and shape of the tip, the nostrils or the bridge.

Best candidates for Nose reshaping
You may be a good candidate for rhinoplasty if the nose you were born with makes you self-conscious or unhappy. Other candidates may be unhappy with how their nose has aged. Even slight changes to the shape of the nose can have a dramatic effect on appearance and can change how people interact with you. Plastic surgery can reshape deformities, reshape changes from aging and other causes, and restore balance.

Expectations are an important element in what makes a good candidate. The best nose surgery candidates simply want to improve the nose appearance, but do not seek perfection. The ideal candidate should not expect rhinoplasty to transform them into someone else. The best candidates are well adjusted and otherwise happy with their lives.

Many young people consider rhinoplasty; however, the procedure should wait until after the teenage growth period that occurs in the mid-teens. This growth period normally occurs from ages 14 to 15 for girls and somewhat later for boys.

Preparation for nose surgery
Before you undergo nose surgery, it is important for you to discuss any medical conditions that you have and to tell your surgeon about any medications that you are taking including any herbal or other non-prescription ones. If your surgeon decides that you can have nose surgery, discuss the procedure thoroughly with him or her before deciding if you want to go through with the procedure. Even though your surgeon says that you may does not mean that you must decide to have nose surgery. You may still change your mind even after discussing the procedure with your surgeon.

Your consultation with the surgeon will give you a detailed understanding of the treatment – the extent of surgery, your health evaluation, your expectations and exactly where the areas of the nose will be treated. When you are happy with what has been discussed, you will sign a booking form for the operation.

Your surgeon should be able to answer any questions that you have about nose surgeries including questions about what to expect during and after a nose surgery and the complications or problems that sometimes occur with nose surgeries. You may also take information from this website to your appointment to discuss with him.

During your consultation your surgeon will do a physical evaluation of the areas to be treated. At this appointment you and your surgeon will discuss your goals, and last queries you have and finalize the plan for surgery. From this examination, he can determine the best procedure to use, and then explain it to you in detail, including the benefits and limitations. The surgeon may also recommend a combination of the upper and lower eyelid blepharoplasty or facial implants, for a better facial profile.

It is important to stress the importance of not smoking before a nose surgery procedure. Smoking can cause problems with circulation and make complications more likely, including post-operative chest procedures.  The GG Guarantee is not valid for smokers.

We also advise you to read our pre-rhinoplasty surgery preparation for maximum results.

Surgical Procedure
Rhinoplasty is a nose-reshaping plastic surgery that can be performed under local anesthesia or under general anesthesia. Cosmetic nose surgery normally requires an hour or two in surgery, depending on the amount of nose reshaping to be done. There are two types of methods: “open” versus “closed”, and is most apparent when it comes to incisions and reshaping.

Closed Rhinoplasty – For minor reshaping, many surgeons make incisions within the nose. The skin of the nose is then separated from the bone and cartilage, which forms its supporting framework. Once exposed, bone and cartilage can be removed, reshaped, augmented, or rearranged to achieve the desired new shape. For example, to make the nose narrower, cartilage can be removed down the front spine of the nose. After the cartilage and bone have been changed, the nose tissues are re-draped over the newly shaped framework and the incisions are closed.

Open Rhinoplasty – For major nose reshaping, the incisions are not made inside the nose. Instead, incisions are made in the vertical strip of skin separating the nostrils. This is called the columella. This more complex procedure is referred to as “open” rhinoplasty. You will be required to stay at least one night in hospital.

Recovery and Post-op care
Immediately after the incisions have been closed, soft puffy material may be used inside the nose to maintain the structure along the nasal air passages. Also after surgery, an external splint is applied to help the nose maintain its new shape. The splint provides some additional protection for the nose during the healing process. The external splint is typically worn for six to eight days.

The nose area will be bruised and puffy after surgery. This bruising may extend to the eyes and all areas of the face. If there is any discomfort after surgery, it will be lessened with medication prescribed by the surgeon. You may have some bruising and swelling for a few days to a week after the surgery, particularly around the eyes and nose. Common post-surgery instructions include a cold compress to reduce swelling, pain medication to reduce discomfort, and elevating your head for the first 24 hours.

Most of the swelling and bruising should disappear after seven days. You may experience limited bleeding the first few days. Normally after a few more days, all stuffing, splints, and other post-surgical dressings are removed. There will be some internal swelling within the nose for several months, but this will not be noticeable to anyone but you and the surgeon.

It is imperative that you do not bump your nose.

Avoid any trauma to the nose during the first week after surgery. Even blowing your nose should be avoided for the first seven days.

You will be moving around in a couple of days, but we advise you to relax for a week or so.

We provide excellent post-care support, with follow-up visits and programs to assist your recovery. If you have any questions or concerns, please let us know and we will schedule an appointment with the surgeon. View our recommendations for post-operative recovery.

Recommended length of stay on holiday
3 weeks is the surgeon’s recommendation and the guarantee period, where you will have regular check-ups.

During your recovery time, and to achieve the best results, we take special care of you to ensure you have a good recovery. Depending on how you feel, you may also like to take a tour around Kuala Lumpur or venture a bit further to the beaches outside KL.

Other recommended procedures with Nose reshaping
Many people who travel to Malaysia have more than one procedure because of the cost advantages and also for a more balanced look.

Nose reshaping is often done with other treatments, such as eyelid surgery, cheek and chin augmentation, to give a more balanced profile. Also, other skin treatments – either chemical peels or laser can greatly improve the overall skin texture and minimize lines to give a refreshed appearance of the face. Please view our non-invasive facial rejuvenation treatments.

Moviestar Makeovers offer great packages for combined procedures. Contact us today for more information and a price.

Your new look
After the bruising and swelling subsides after the first few weeks, your new look will emerge. The result of nose reshaping is permanent.

Sometimes treating one area may cause an overall imbalanced appearance. If you are having the rhinoplasty procedure, you may also need to consider other facial procedures to achieve balance and proportion. For example, chin augmentation is often performed with rhinoplasty. If you decide you need the additional procedure later, the two procedures are more expensive than if you had them at the same time.

Preconditions and Risks
We minimize risks and complications by selecting patients carefully and always having the most skilled surgeons, physicians and nurses carry out procedures. However, despite the highest standards, complications can occur. They are rare, and most patients will not have complications, but if you have concerns about possible complications, please discuss these with your doctor.

Please read the preconditions and risks page before embarking on any surgery.

Common Q & As
If you have questions other than those listed here, please view our complete page for Q & A.