Rhinoplasty is an operation that needs a thorough evaluation, taking into full consideration the patient’s wishes and addressing their reasons for making changes. There are many elements which need to be addressed from the actual appearance of the nose through to how it impacts on the patient’s wellbeing both physically and psychologically in both personal and social situations.
Apart from purely cosmetic reasons, Rhinoplasty can treat a host of medical nasal conditions, when the patient has breathing difficulties or when the nose has been damaged. Some patients have an innate deviation of the septum which will cause severe breathing problems. If this is the case, the patient must first be evaluated or treated by an ENT specialist prior to surgery.
If the nose has a hump, is extremely long or wide or the nose tip is skewed or off centre, then Rhinoplasty is a good option to consider. It is very important that the patient’s wishes have been discussed openly and honestly and that they are realistic. You can’t “order” a new perfect nose. Nor can a surgically altered nose transform your mental health.
It is imperative that you have a clear idea of how you would like your eventual profile to look and at the same time, realise that there are limitations to the procedure. Patients with sufficient physical and emotional maturity who undergo Rhinoplasty because they want to enhance their self-image are usually very satisfied with the joint decision you come to with your surgeon.
The operation is performed either as an open or closed Rhinoplasty. If you are having a reduction of the tip of the nose included this is called an Alar base reduction where the incisions will be made around the nostrils and in the central area of the nose – called the Collumela.
If it is just the mid nose and up that needs the correction this can be done only from the inside and all sutures will be internal. If the cartilage has to be dropped you will be required to wear a cast to protect the area and keep the shape for approx 7 days.
To get optimal results and avoid complications we recommend you to avoid stress, stay out of the sun, eat healthily, and keep your weight within a normal BMI range, exercise regularly, and refrain from alcohol for 2 days prior to surgery and 2 weeks after surgery. Please refrain from smoking for at least 1 week before surgery and a minimum of 2 weeks after surgery as smoking can interfere with the final result.
Downtime following surgery
Heavy physical exercise and strenuous body movement or lifting must not be undertaken for a minimum of 4 weeks following the surgery. You can still move and do normal everyday things the day after surgery.
The final results will emerge between 3 to 6 months following surgery. There is very rarely disappointment in the patient’s perception of the success of the surgery.
Where to stay:
If you live some distance from the clinic we recommend that you spend one night in or near Oslo Plastic Surgery Clinic so that our caring staff are on hand to reassure you should any issue arise that will cause you concern. Oslo Plastic Surgery Clinic can highly recommend 2 hotels nearby to our clinic:
Contact us for more information and/or for booking the hotel.
We will require you to come to the clinic for a follow up check. With all surgery this is important as your surgeon needs to see how you are settling.
We do not recommend you fly for 48 hours post surgery. You may feel nauseous and tired in the hours following surgery. It is important to take your painkillers and drink enough fluids.
You may experience dizziness if you get up quickly from a chair or perhaps when you are lying in bed, so be sensible, take it easy and move slowly. This is quite normal following surgery and should pass within a couple of days.
After 7 days we remove the nose splint and the stitches, but keep the tape on the scar for one month.
Follow ups will be carried out at the clinic/alternatively through phone or video consultation:
1 day after surgery, after 1-2 weeks, after 3-6 months and finally after 1 year when our guarantee to you is completed.
Bleeding and infection are unusual and if they do occur we may need to perform a small operation and/or an antibiotic treatment. The nose has multiple structures and it is not unusal to do some corrections after the initial operation. If corrections are needed they will be scheduled free of charge within one year after your surgery. Anaesthesia allergy is extremely rare.