Rhinoplasty (Nose job)
Rhinoplasty is one of the most common and most asked for cosmetic surgery procedures. Nose reshaping and remodelling can transform lives, especially for people who may have real confidence and self-image issues due to their perception of their nose.
Mr Khan is a highly experienced plastic surgeon who has carried out many rhinoplasty procedures, for both cosmetic and reconstructive purposes. Working with patients of all backgrounds, Mr Khan provides patient-centred service and will discuss all options and procedures in depth with patients in advance to ensure they have all the knowledge they need to make an informed decision.
Rhinoplasty (Nose job) is an operation requiring a lot of expertise and experience. Mr Irfan Khan has a special interest and experience in this operation. He is a full member of:
- The British Association of Aesthetic Plastic Surgeons (BAAPS)
- The British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS)
- The British Society of Surgery of Hands (BSSH),
- British Society of Rhinoplasty Surgeons (BSRS)
- British Medical Association (BMA)
- Royal College Surgeons in Ireland (RCSI)
Many people are dissatisfied with the appearance of their nose. Some may think it is too large or small while others have more specific worries about the tip, lumps on the bridge or the angle of their nose. The rhinoplasty procedure can help in all these instances as all perceived imperfections can be surgically enhanced or removed. The nose doesn’t stop growing until around the age of sixteen, so the procedure is not recommended before this age. As an experienced and talented surgeon, Mr Khan also makes sure to take into account the other facial features when reshaping and changing the shape and size of a patient’s nose.
The Rhinoplasty Procedure
The rhinoplasty procedure can be carried out in either an “open” or “closed” way. This depends on the patient in question and the recommendations of the surgeon and his team. The skin of the nose remains in place in both procedures but the frame, including the cartilage and bone is manipulated to reshape and enhance the profile.
The “closed” method of surgery involves the use of incisions made through the nostrils as the access point for the procedure. The “open” method involves an incision made into the columella (the tissue within the nose separating the nostrils) as well as within the nose. The nasal skin shrinks to fit the new, reduced nose shape. In the instance that enlargement is part of the procedure, the surgeon uses cartilage, bone and sometimes manufactured materials to create the new nose shape.
After the procedure the recovery period is usually quite quick. The nose may feel stiff and a little sore, there will be swelling and bruising. This can last up to 2-3 weeks, with additional residual swelling present for up to 9 months. Breathing difficulties are a common side effect for the first week or so but usually clear up, or patients may be advised to wear a splint.
Every individual seeking rhinoplasty surgery will have a full and comprehensive consultation to assess their needs and expectations. Mr Khan and his team are ready to help and guide anyone looking at their surgery options and will advise on the best possible procedures.
Frequently Asked Questions
Am I suitable to have a Rhinoplasty?
A Rhinoplasty can be done to improve the appearance of your nose and/or to improve any breathing difficulties. You need to make an initial appointment and have a consultation with Mr Khan who will ask you about your concerns regarding your nose. A lot of care and thought is then taken to suggest which procedure is most suitable for addressing your concerns and how your new nose may fit into the rest of your face. Having a Rhinoplasty has been proven to increase your self-confidence and self-perception and therefore, is ideal for anyone who is worried about the shape of their nose. At consultation, Mr Khan will show pre and post operative photographs of his past patients.
How is a Rhinoplasty done?
A full Rhinoplasty is done under general anesthesia. This is one of the most delicate and complicated operations that we do. The nose consists of a skeleton framework made up of bone and cartilage. A Rhinoplasty involves making changes to this skeleton framework allowing the skin to drape over it to give a new shape. Mr Khan refers to Rhinoplasty as ‘A surgery of millimeters’ where a few millimeters being taken off or added from the bone and cartilage makes all the difference. This change in skeleton creates a new shape and skin drapes over it. To achieve this precision, a lot of expertise and experience is required.
Is there lot of pain after the operation?
This is a usual and understandable concern. Especially as sometimes reshaping of the nose can involve removal of a bony hump or fracturing of a nasal bone to make it narrow. In spite of this it is surprisingly not a painful procedure. Mr Khan ensures that adequate post-operative care is given after this procedure. Appropriate painkillers will be given to you and usually after the first 24 hours paracetamol on its own is enough.
Will I have lot of bruising and how long will it last?
As explained above, due to the need for bony work, bruising is inevitable. However, Mr Khan uses very fine osteotomes (surgical instrument) to break the nasal bone so that the damage is very precise and localised. This technique causes little bruising which usually settles in a week to ten days. You will be encouraged to sleep in an elevated sitting position or with a few pillows under your head for the first few days to minimise any bruising. Photographs of past patients will be shown to illustrate this.
Will I have a plaster on my nose?
In order to allow the broken nasal bone to reset in a new position, a splint is put on which is removed in seven to ten days. Like any bony fracture, nasal bones take three months to heal. Therefore, during this time you have to be very careful to try not to injure the nasal bone. For example, avoid contact sports during this time. Other exercises can be started after two to three weeks.
Will I have a scar?
This will depend on what changes need to be made to your nose and this is something that is discussed in the first consultation with Mr Khan. For any significant work to the nasal tip, Mr Khan uses an open Rhinoplasty technique. This means that a small cut is created under your nose and the skin is lifted off to adjust the underlying skeleton. This scar heals very well and is not noticeable in nine to twelve months. Photographs of past patients will be shown to illustrate this.
Will my smell change?
You may experience an initial altered sense of smell with the occasional offensive odour. However, this is not permanent and settles down to normal in a few weeks. This initial altered sensation of smell occurs due to crust formation inside the nose. This can also cause some difficulty breathing. Mr Khan will give you a nasal spray or drops to put in your nose to soften this crust so that it comes out easily. After three weeks you will be able to blow your nose and these crusts will then clear. Your throat may become dry due to breathing through mouth and frequent small sips can be helpful.
Will I be able to see change in shape of my nose straight away?
Once the splint comes off after seven to ten days, you will be able to see the major changes made. However the nose is susceptible to a significant amount of swelling after surgery, which can take sometimes up to a year to completely settle down. Therefore, as the swelling improves, the changes made to the nose will become more and more apparent. Results of surgery are also dependent on thickness of nasal skin.
How long do I need to take time off work?
This varies from patient to patient and is also dependent on the type of job you do. At least two weeks off is recommended.
Are there any risks and complications after this surgery?
Surgery should never be taken lightly as it carries risks and Mr Khan will discuss these. Risks and complications that can come with any operation are also relevant for a Rhinoplasty. These could be both from the operation and from the general anesthetic. Whilst complications can occur, Mr Khan takes a lot of precautions to avoid these. These will be discussed with you when you come to see him.
Procedures - Mr Irfan Khan