• Open rhinoplasty: suitable for individuals who require extensive nose reshaping. Incisions are made outside your nose between your nostrils, to separate the skin of your nose from the cartilage and bone, and your nose is reshaped.
• Closed rhinoplasty: suitable for individuals who require minor nose reshaping. Incisions are made on the inside of your nose to separate the skin from cartilage and bone, then your nose is reshaped.

‍Medical history

It is important to give honest answers with regards to your medical history. This allows your surgeon to make accurate and safe decisions with regards to the procedure. Inform your surgeon about any medications, surgeries, or allergies you have/had. You must also inform your surgeon if you have diabetes, circulatory problems, thyroid problems, and other health issues if any. 

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Physical examination

Your surgeon will conduct a physical examination of your nose and help to identify any problem areas that can be treated with a rhinoplasty. 

After this, you and your surgeon will discuss the options available and the possible results with each option. Once the treatment plan has been decided for you, your procedure will be booked. Before the procedure, you must:

• Stop smoking: smoking reduces blood flow to the skin and hinders the healing process. It also increases your risk of tissue damage.
• Stop some medications: medications such as aspirins and anti-inflammatory drugs are blood thinners which may increase bleeding during and after the procedure.

Photographs will also be taken to guide your surgeon through the procedure.

• Anaesthesia is administered.
• Depending on your requirements, incisions are either made inside (closed rhinoplasty) or outside your nose (open rhinoplasty).
• Skin is lifted to separate it from the cartilage and bone.
• Nose is reshaped by removing excess cartilage or inserting implant materials. 
• Cartilage may be molded, or some bone may be removed, depending on your requirements.
• Incisions are sutured closed.

Alloplastic and/or autologous implant materials may be used. Autologous materials may be taken from within your nose, ear, scalp, or ribs. Procedures to widen the nasal passages may also be performed in patients with airway obstruction. Our surgeon Dr Vincent Tay will advise you on the options so that you may make an informed decision.

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Patients with a dorsal hump or over-projection may require a reductive rhinoplasty to give a refined and sharper look. At Artisan Plastic, our surgeon can perform this procedure using the latest technique in preservation rhinoplasty to minimise complications.

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Patients who require secondary rhinoplasty to revise or correct issues from a previous rhinoplasty can also seek advice from Dr Tay, he will be able to guide you on the necessary alterations required.