What is Rhinoplasty?
Rhinoplasty, commonly referred to as a ‘nose job’, nose reshaping, or plastic surgery for the nose, is one of the most impactful cosmetic procedures. The confidence it can bring to patients is life- changing.
A rhinoplasty procedure can include refining the bridge, tip or overall profile. Many people wish for this procedure as they are self-conscious and feel the nose they have inherited or injured is out of proportion or has unsightly bumps. A nose reshaping operation is either performed from inside the nostrils, referred to as a closed rhinoplasty; or else by making a small cut on the nose and elevating the skin – known as an open rhinoplasty.
Nose surgery is carried out under general anaesthetic for your comfort and only takes around 2 hours to complete, though it might require an overnight stay. It’s advisable to take 7-10 days off work after a nose job with the splint being removed around day 10 (dependent on surgeon advice) by the clinic nurse. Your operation will take place at the MYA Fitzroy or The First Trust Hospital which are both fully registered with the Care Quality Commission.
What happens at your consultations?
Patient Coordinator Consultation
At your first consultation with a Patient Coordinator, you will be walked through your patient journey with MYA and some discussion will follow about what you do not like about your nose. We want to find out your expectations in getting a nose job so we can recommend the right surgeon for you. If you are suitable for surgery, we will tell you about the operation, the expected outcomes and the possible risks and complications.
It’s really important to have clear communication with your surgeon about what you want and for them to tell you what is achievable. Before your operation, your surgeon will carry out a careful examination to determine whether surgery is right for you and what can be achieved.
How is Rhinoplasty done?
Rhinoplasty is typically carried out as an overnight stay and requires general anaesthetic. Your operation will take place at the MYA Fitzroy, The First Trust Hospital or Pall Mall Medical, and they are all fully registered with the Care Quality Commission.
Day of Surgery
You will receive your admission time 1-2 days before surgery and should arrive at the hospital at this time. You won’t be taken to surgery straight away and there can be a wait of up to 6 hours. You can always speak to hospital staff on the day for updates on your surgery. Operations take between 90-180 minutes, depending on the technique being used. You will wake up from surgery with a splint held over your nose by tape and there will be a pad under your nose for 12 hours.
Your surgery will be performed under General Anaesthetic (GA). This stops you from feeling pain and will give you a state of controlled unconsciousness (like sleeping). The anaesthetist will insert a needle into the vein in the back of your hand and it takes about 30 seconds for the anaesthetic to kick in. If you’re worried about needles, speak to our anaesthetist before surgery.
The incision locations for your rhinoplasty will be discussed and explained to you by your surgeon; they are commonly internal and at the columnella (at the base of the tip) but this will depend on the procedure you’re having.
Bridge – If the bridge of the nose is being operated on, the surgeon removes the bone and cartilage that is causing the “hump”. The nose may then be broken to allow the remaining pieces of bone to be moved closer together, resulting in the narrowing of the nose.
Tip – When the tip of the nose is operated on, the cartilage that make up the tip-support needs to be partly removed or reshaped. This is done through the nostril, or by making a small cut in the bit between the nostrils in an open rhinoplasty.
Length – A surgeon can adjust and reduce the central structure of the nose, known as the septum, to help shrink the tip and reduce the overall length of the nose. Adjustment to the tip cartilages also helps adjust nasal length.
Width – By breaking and repositioning the side nasal bone, a surgeon can also reduce the width of the nose and achieve a narrower appearance.
After the procedure, you will be taken to your room where a nurse will routinely monitor you as you start to fully wake up from the anaesthetic. You should expect to have packing in your nose, which feels like you have a blocked up nose from a cold. You will also be wearing a splint across the bridge of your nose and a pad taped across the nostrils. You will have been given painkillers at this point so most patients do not experience pain immediately after surgery, it will just feel uncomfortable.
For more in-depth information, read our collection of advice from MYA patients, and book your free consultation today.
What is recovery like?
Every person’s rhinoplasty recovery timeline is different. In general, you will probably feel a little sore after surgery, this will subside after 7-14 days. Pain relief will be prescribed and administered as required to ease any discomfort you may have. You will have bruising and swelling that usually lasts 7-14 days, which is completely normal. A MYA nurse will remove your splint between 7-14 days after surgery. It is quite common for there to be some difficulty with breathing through the nose during the first week or so. When the swelling disappears this normally resolves.
You need to be aware of a few temporary lifestyle changes after a rhinoplasty procedure. Because your nasal bone is not fully healed and remains soft for 6 months postoperatively, you shouldn’t wear glasses and sunglasses for 6 months. During the initial 6 weeks of your recovery, you shouldn’t blow your nose or sleep on your front or side. Sneezing is something you need to be really careful of too – avoid aggressive sneezing by doing it through your mouth rather than your nose.
Be Patient with Swelling
Swelling usually takes 1-12 weeks to reduce. If you are having the tip of your nose operated on or if you are having an open rhinoplasty, 60% of the changes (reduction of swelling) will be apparent after 3 weeks. The remaining 40% of rhinoplasty healing will evolve over several months and can even take up to a year to fully subside. We know you want to see your final result immediately but patience is so important after a rhinoplasty! Give your body time to heal.
Cost and Finance
How much does Rhinoplasty cost?
The cost for a nose job ultimately depends on what kind of rhinoplasty procedure you need. Our prices are tailored to you personally by our patient coordinators and surgeons so the only way of finding out a final rhinoplasty cost is to come in for a free consultation at your local MYA clinic.
Rhinoplasty on Finance
We understand that the nose job price can have an impact on your decision to have the procedure. That’s why we’ve made things simple and stress-free with a choice of flexible finance options. For example, a £6,700 procedure could be financed with a £500 deposit and 60 monthly payments of £130 (total credit charge of £1,600, £8,300 total repayable and 9.9% APR representative). Visit our finance page to learn more and to try our Affordability Calculator now!
*There is no guarantee of specific outcomes so individual results and experiences can vary from person to person.
Before & AftersIf you’re thinking about undergoing this procedure, viewing patient stories and rhinoplasty before and after photos can give you an idea of the results you can expect. In just under 2 hours, the procedure can transform the size and shape of your nose to help you achieve the look you want. If you are unhappy with your nose or have suffered an injury which has caused damage to its appearance, a rhinoplasty can help you gain confidence by reshaping, resizing or correcting any lumps and bumps for a more proportioned, refined look. As the nose is the central point of the face, many people are self-conscious if they feel their nose is too large, too small or they are unhappy with the size of their nostrils or bumps on their nose bridge. A nose job transformation can make a real difference. See some of the pictures of a nose job before and after from MYA procedures above.
WILL A RHINOPLASTY AFFECT MY BREATHING?
It is quite common for there to be some difficulty with breathing through the nose during the first week or so. When the swelling disappears this normally resolves. However, occasionally the way you breathe will feel different due to the reduction in the size of your nose. This won’t cause breathing problems.
WHAT TYPES OF NOSE JOB ARE THERE?
Nose job types include open and closed rhinoplasty, septo-rhinoplasty, secondary-rhinoplasty, augmented rhinoplasty and alar base reduction.
HOW DO NOSE JOBS WORK?
A rhinoplasty involves a surgical procedure to alter the shape of your nose. See the Procedure page for a full explanation of how it works.
CAN I REMOVE MY SPLINT?
Although you will be eager to see your final results, you may not remove your splint at any point. Your MYA nurse will remove this under strict surgeon instruction and this will be around 7-14 days after your surgery. It can be a bit uncomfortable as you’re wearing it 24 hours/day but it’s a very important part of your care and your end result. The nose job filler packing will be removed from your nose prior to discharge.
HOW DO I SLEEP AFTER SURGERY?
You need to sleep propped up on pillows, with your shoulders raised for the first 7 to 10 days. You need to make sure that you avoid sleeping face down or resting on your nose for at least 6 weeks.
WHEN CAN I EXERCISE AGAIN?
You can start going to the gym at around 6 weeks post-operatively. This excludes heavy lifting and contact sports, which you can usually start again between 6 months and 1 year with great caution. While your nose may appear visibly healed, internally this process can take over a year as the cartilage, tissue and bone will remain delicate and susceptible to easier injury if you suffer any trauma.
DOES A NOSE JOB HURT?
During the procedure, you will be under general anaesthetic, and therefore will not feel any pain.
WILL I BE IN PAIN AFTER SURGERY?
During your immediate recovery following rhinoplasty, there may be some pain and discomfort. You are given pain relief to ease any discomfort you may have but it will normally subside after 7-14 days.
HOW LONG WILL I HAVE TO TAKE OFF WORK?
After rhinoplasty, MYA recommend you take a minimum of 10 days off work to rest.
WILL I HAVE SCARS AFTER MY RHINOPLASTY?
The location of your scars will depend on the incision site for the type of rhinoplasty you have. If you have closed rhinoplasty, your scars will be completely hidden inside your nose. If you are having an open rhinoplasty, there will be a small scar on the base of your nose between your nostrils. It’s usually not noticeable unless you get up close to look at it. Because it’s under your nose, it’s hidden from plain sight.
HOW MUCH IS A NOSE JOB?
Prices vary for every individual patient as it depends on what type of rhinoplasty you have. If you’re having trouble funding your procedure, MYA offer fantastic finance options so make sure you check out our incredible finance calculator.
I’M CONFUSED! WHO CAN I TALK TO?
If you have any questions then the best person to talk to is someone at MYA! You can book a free consultation by calling 03330141014 or completing an online enquiry form at the top of the page. Have you heard about our MYA Forum? Speak to real patients for great advice from our very own community of MYA girls.