The essentials of a ‘nose job’ (rhinoplasty)


Consultant Mr Roger Smith looks at some of the options available if you are considering changing the shape of your nose.

 We all have some aspect of our body which we would like to change, but for many people their nose is not only a very prominent feature on their face, but one that they would like to improve. Whether through playing sport, an accident or injury, the poor and delicate nose can often take quite a battering in life and over 40% of facial injuries occur to the nose.

Many people are also unhappy with the shape of their nose in relation to the rest of their face and want to make changes to help improve their overall self confidence and self esteem.

Whether you feel your nose is too big, too bumpy, whether it has sustained an injury or you merely wish to alter it from a purely cosmetic perspective, a rhinoplasty or nose job is the procedure used to reshape the nose. This is usually performed under a general anaesthetic, with options around additional local anaesthetic, and it lasts between an hour and 90 minutes.

Everyone has a unique nose and they need to consider how it looks in proportion to the rest of their face.

There are two ways to carry out the operation, either a closed or open rhinoplasty. A closed rhinoplasty is where the surgeon will make cuts on the inside of your nose and dissolvable stitches will be used.

An open rhinoplasty will often be used if the shape of the tip of your nose needs changing. The consultant will cut down the centre of the nose to take away cartilage or move it. The consultant may also break the small, delicate bones at the side of the nose and reset them to ensure a good shape once you have healed. Sometimes an implant or graft is needed to add structure to the nose.

As anyone who has ever had a nosebleed knows, the nose can bleed quite a bit, so the surgeon may pack the inside of the nose to stop bleeding, or apply a temporary splint to the outside to give extra support after surgery.

After the operation you will be taken back to your room to rest. You may have to wear a protective splint over the nose. You should be able to return home on the same day as your surgery. These packs may remain in your nose for a few days before they are removed at a follow up appointment and you should ensure you follow all of the advice given to you by the KIMS medical team. This will include not driving or operating machinery for at least 24 hours after your operation.

It is recommended that you will need to take a little time off work, but many people anyway would want to try and avoid being see with their dressing in place and before the swelling and bruising has subsided. It can take up to six months for the nose to fully settle into its final shape after the operation, but the majority of people are back at work within a couple of weeks.

So if you dislike your nose, why not book a consultation today to find out what options are available to you, call us on 01622 237 726 or email