Rhinoplasty is usually described as functional or cosmetic.
The distinction lies in the main aim of the procedure. When an improvement in nasal breathing is the main goal of the nasal surgery, we call it a functional operation. This type of surgery may involve straightening the middle of the nose (septum) as well as the nasal bones and occasionally work is done to the nasal tip to correct drooping or collapse that occurs when breathing in.
Surgery that is done mainly for cosmetic reasons may involve correction of any or all components of the nose to improve the aesthetics of the nose. A significant proportion of rhinoplasty is done to correct both functional and cosmetic concerns. ENT Surgeons are well placed to perform rhinoplasty as they have a comprehensive understanding of how the nose and sinuses work as well as how the nose should look.
Rhinoplasty operations are only performed after a thorough assessment. This involves a comprehensive history and examination of all aspects of the nose, ears and throat. Objective analysis of the face and formal photography is performed prior to planning any operation. Understanding patient concerns and having a realistic approach to outcomes is critical for this type of surgery.
Nasal surgery is done under general anaesthetic and can usually be performed as a day procedure. Rhinoplasty is generally done as with "open" or "closed" approach. Open rhinoplasty involves an incision between the nostrils and allows excellent exposure of the entire nasal skeleton. It is longer and more complex than the closed approach which is done via inicisions inside the nose. There are many different techniques described for the management of each particular aspect of the nasal anatomy and are too numerous to list here.
Recovery is usually a week or so and a plaster splint will sit on the nose for 7 days. Bruising and swelling is highly variable and depends on many different factors.
To arrange a consult to discuss your particular concerns, please contact Mr. Cook's rooms on (03) 98950400.