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by Artisan

'Nose job'

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Our nose occupies the central aesthetic zone on our face and can make or break facial harmony.

In many cultures and societies, the nose is often deemed as telling of a person’s fortune, status, or character. Beyond aesthetics, a narrowed or deformed nose may also obstruct your breathing. Many patients seek to surgically refine their nose or to restore it after trauma or disease.

What is a rhinoplasty?

Rhinoplasty, colloquially known as a nose job in Singapore, is an operation to refine the shape, size, and structure of the nose. It may involve the manipulation of the bone, cartilage, fibrofatty tissue, and skin.

Individuals may require a nose job for two different reasons, these are:

  • Functional rhinoplasty: repairs your nose to improve breathing and other functions.
  • Cosmetic rhinoplasty: improves appearance of your nose and face for aesthetic purposes.

How does rhinoplasty work?

The surgery can be performed in two different ways depending on your functional or aesthetic needs. The two main types of a rhinoplasty are:

  • 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.

Benefits of rhinoplasty

  • Changes the shape and size of your nose
  • Fixes structural deformities due to injury, sickness, or congenital defects
  • Improves breathing 
  • Improves appearance

What should I expect before the procedure?

During your first consultation, you and your surgeon will discuss your problem areas and desired results. Additionally, you will discuss on the following things:

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. 

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.

What should I expect during the procedure?

Rhinoplasty is performed as an out-patient procedure; however, it is recommended that you stay overnight at the hospital to ensure that you are recovering well. A rhinoplasty involves the following steps:

  • 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 Andrew Cheah will advise you on the options so that you may make an informed decision.

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.

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.

The surgery can be performed either via an open approach for a more dramatic correction or a closed approach for smaller refinements.

During your consultation, Dr. Andrew Cheah will perform a careful examination of your nose, and assess the correction needed. Every patient has their unique aesthetic and medical needs and Dr. Andrew strives to individualize the approach for each patient.

All surgical procedures have some degree of risk. The procedure should be carried in a safe environment and in an accredited clinic. Minor complications that do not affect the outcome could occur occasionally. Major complications are rare.

who is a candidate

for Rhinoplasty

Individuals with the following issues are suitable for a rhinoplasty:

  • Nasal asymmetry
  • Disproportionate nose or nostril size
  • Breathing difficulties due to structural deformities
  • Dips or bumps on nose
  • Blocked nasal passages

What to expect?

for Rhinoplasty

  • You should expect a downtime of approximately two to three weeks for an open rhinoplasty and one to two weeks for closed rhinoplasty.
  • After a rhinoplasty, a plastic splint must be worn on your nose for one to two weeks. This helps to reduce swelling and maintain the new shape of your nose.
  • Some cotton gauze may be inserted into your nose which you can remove in 24-48 hours.
  • Mild swelling, bruising, and discomfort are to be expected but these should resolve in a few weeks.
  • Painkillers and antibiotics will be prescribed to reduce pain and prevent infection.
  • Avoid strenuous activities and blowing your nose in the first few weeks post-procedure.
Frequently asked questions

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