News & Features



Nose Reshaping


Mention cosmetic surgery to people and many think immediately of rhinoplasty. Commonly known as a “nose job”, it is one of the most popular cosmetic surgery procedures. Stars and socialites regularly have it done, as do people from all walks of life today.

When a person wants to change their nose, it is usually because they feel its shape or size is not in harmony with the rest of their face. Rhinoplasty addresses this problem by modifying the size of the nose and sculpting the nasal structures to balance the face.

The operation generally takes 1-2 hours. Most incisions are made inside the nose to minimize scarring. In difficult cases (such as where previous surgery has been performed or in noses with abnormalities in the tip or severe deviations) it is necessary to make a small incision between the nostrils.

Dr Fleming and Dr Mayer use the “open” technique for rhinoplasty – where they suture parts directly to minimize the possibility of later shift, and produce better symmetry. In their experience this approach achieves better results than was previously available using the closed technique. The open technique is a more time-consuming procedure, but Drs Fleming and Mayer have found the results consistently justify the effort.

The external incision is hidden, so it remains inconspicuous. But in noses with wide nostrils, small incisions may need to be made at the base of the nostril to narrow this area of the nose.

Any discomfort experienced after surgery is usually mild, and easily controlled with analgesics. Patients are administered medication in the immediate post-operative period to relieve swelling. Ice packs are also recommended for the eye area. A cast is worn on the nose for about 6 days. Nasal swelling will be present when the cast is removed, but this is not usually visible to other people and generally subsides quickly. There can also be stuffiness and nasal obstruction for a short time after surgery, along with a temporary decrease in sensation in the skin. Strenuous activity should be avoided for 2 weeks.

The final shape of the nose will be achieved after several months, though this is dependent on the thickness of the patient’s skin and the amount of work undergone. Any irregularities in contour that may have occurred will usually resolve in time. Occasionally a minor second procedure is performed.

The style of nose chosen is up to the individual – and is often a combination of personal taste and current fashion or styles. For example, it used to be that a “scooped-out” bridge and a perky nose were desirable. Trends have shifted, with a high bridge and a slightly longer, more aquiline appearance now in demand. The most important factor is ensuring the new nose shape suits the individual patients’ facial features.

To view Before and After photos of Rhinoplasty, Click Here.



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