What you need to know about:

Rhinoplasty (Nose surgery) - Reduction

Fast Fact

92%

Worth It Rating

Average Cost:

$3,875

Recovery Period:

1-2 days

Permanence:

Permanent

177

Doctors

Time it takes:

1-3 hours

Hospitals & Clinics

Reviews

Anesthetize:

General anesthesia

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Overview of

Rhinoplasty (Nose surgery) - Reduction

in Thailand

Commonly known as a nose job, a reduction rhinoplasty is a plastic surgery procedure for correcting and reconstructing the form, restoring the functions, and aesthetically enhancing the nose by resolving nasal trauma, congenital defect, respiratory impediment, or a failed primary rhinoplasty. Most patients ask to remove a bump, narrow nostril width, change the angle between the nose and the mouth, as well as correct injuries, birth defects, or other problems that affect breathing, such as deviated nasal septum or a sinus condition. The procedure reshapes the nose to make it more proportional and balanced with the rest of the face.

Goals of

Rhinoplasty (Nose surgery) - Reduction

-alter the hump at the bridge of the nose;

-reshape the tip of the nose;

-change the length or width of the nose;

-change the width of the nostrils.

Price of

Rhinoplasty (Nose surgery) - Reduction

in Thailand

Average Cost

$3,875

Price Range

$900 to $6,850

Pros and cons of

Rhinoplasty (Nose surgery) - Reduction

Pros

- A nose reduction c an help improve the shape, angle and size of your nose

- Structural problems that restrict breathing and cause congestion can be corrected

Cons

- Depending on the type of surgery, you may develop scars at the base of your nose

- You may have skin problems or breakdown of skin tissue associated with the use of grafting materials

- It will take some time to adjust to your new look

How it works:

Rhinoplasty (Nose surgery) - Reduction

Medical illustration of rhinoplasty - open and closed technique

Rhinoplasty to change the shape of the nose is performed either from inside the nostrils (called closed rhinoplasty) or by making a small cut between the nostrils and lifting the skin, as shown opposite (this is called open rhinoplasty). The precise nature of the operation will depend on the area of the nose that is being treated. The scar may be straight, V-shaped or zigzag. Changing the ridge of the nose 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 so the remaining pieces of bone can be moved closer together to narrow the nose. Changing the tip of the nose If the tip of the nose is being operated on, the cartilage that makes up the support under the tip needs to be partly removed or reshaped. This can be done through closed or open rhinoplasty. Changing the length of the nose Your surgeon will adjust and reduce the septum, to help shrink the tip and reduce the overall length of the nose. Adjusting the cartilage at the tip of the nose can also reduce the length of the nose. Changing the width of the nose Your surgeon can reduce the width of the nose, to make it narrower, by breaking the bone and repositioning it. Increasing the bridge or tip of the nose Surgeons can use bone or cartilage, or an implant, to change the contour of a 'flat' bridge or tip. This is called additional rhinoplasty or augmentation rhinoplasty. The bone or cartilage used can be taken from the nose (the nasal bone or the septum), or from other places such as the rib, hip or ear. Changing the septum If your nose has been flattened by an injury, the septum could be buckled, making breathing difficult. This can sometimes be altered at the same time as the surgery explained on the previous page, or as a separate operation.

Medical illustration of open rhinoplasty

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Medical illustration of closed rhinoplasty

Preparation before

Rhinoplasty (Nose surgery) - Reduction

Pre - treatment

Before scheduling rhinoplasty, you will first meet with your surgeon to discuss important factors that determine whether the surgery is likely to work well for you. This meeting generally includes: -Your medical history. The most important question your doctor will ask you is about your motivation for surgery and your goals. Your doctor will also ask questions about your medical history - including a history of nasal obstruction, surgeries and any medications you take. If you have a bleeding disorder, such as hemophilia, you may not be a candidate for rhinoplasty.-A physical exam. Your doctor will conduct a complete physical examination, including any laboratory tests, such as blood tests. He or she also will examine your facial features and the inside and outside of your nose.The physical exam helps your doctor determine what changes need to be made and how your physical features, such as the thickness of your skin or the strength of the cartilage at the end of your nose, may affect your results. The physical exam is also critical for determining the impact of rhinoplasty on your breathing.-Photographs. Someone from your doctor's office will take photographs of your nose from different angles. Your surgeon may use computer software to manipulate the photos to show you what kinds of results are possible. Your doctor will use these photos for before-and-after assessments, reference during surgery and long-term reviews. Most importantly, the photos permit a specific discussion about the goals of surgery.-A discussion of your expectations. You and your doctor should talk about your motivations and expectations. He or she will explain what rhinoplasty can and can't do for you and what your results might be. It's normal to feel a little self-conscious discussing your appearance, but it's very important that you're open with your surgeon about your desires and goals for surgery.If you have a small chin, your surgeon may speak with you about performing a surgery to augment your chin. This is because a small chin will create the illusion of a larger nose. It's not required to have chin surgery in those circumstances, but it may better balance the facial profile.

Recovery after

Rhinoplasty (Nose surgery) - Reduction

Post - treatment

Rhinoplasties are usually carried out under a general anaesthetic meaning you would be asleep through out the procedure. You may be given antibiotics to keep the wound clean. You might be able to go home the same day, or stay in hospital overnight. If you do go home on the same day, be sure to arrange for somebody to stay with you for the night.Your nose will feel tight and sore initially. Simple painkillers should be enough to keep you comfortable. If your nose was broken as part of the surgery, there will be noticeable bruising around the eyes for about seven to10 days, with yellowing around the eyes for 10 to 20 days.You should be able to back to work or school in about 1-2 days. It will take around 2-3 weeks before you can perform strenuous activities and it will take around a year to fully see the effects from the surgery

Before and after photos of

Rhinoplasty (Nose surgery) - Reduction

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Patient reviews of

Rhinoplasty (Nose surgery) - Reduction

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Risks & side effects

All surgery carries risk, and you should be fully aware of the medical risks associated with this procedure before you consent to surgery. Your surgeon will discuss these risks with you during your consultation, and you are encouraged to ask questions if there is anything you do not understand.Risks and risk rates vary from patient to patient depending on a range of factors. No two people are alike. The risks listed below are possible risks associated with this type of surgery and are mentioned regardless of how remote the possibility: Bleeding. Infection. Nerve damage (cranial nerve dysfunction). Permanent scarring. Partial or total loss of bone grafts. Need for follow-up surgery.POST SURGICAL SIDE EFFECTSTemporary discomfort,Bruising around the eyes and noseSome bleeding and stuffinessSIDE EFFECTSTemporary throbbingAching and swellingRedness and numbness

FAQs:

Rhinoplasty (Nose surgery) - Reduction

Who are the best candidates for rhinoplasty?
Healthy adults / adolescents over the age of 14

What to expect after the operation?
Rhinoplasty surgery is usually carried out under a general anaesthetic (so you would be asleep). The operation usually takes about two hours. You might be given antibiotics to keep the wound clean. You might go home the same day, or stay in hospital overnight. If you do go home on the same day, a responsible adult should stay with you for the night. Your nose will feel tight and sore. Simple painkillers should be enough to keep you comfortable. If your nose was broken as part of the surgery, there will be noticeable bruising around the eyes for about seven to10 days, with yellowing around the eyes for 10 to 20 days.

What do I do if I want to change more than the size of my nose?
For many patients, the size of their nose isn't the only source of distress and unhappiness. Such patients may also have issues with a bulbous or pointy tip, breathing troubles, crookedness, and other unwanted characteristics. If you want to make changes to the shape of your nose as well as the size, talk about this with your facial plastic surgeon to create a complete surgical plan that addresses each problem. While a true reduction rhinoplasty focuses on the size alone, there's no reason that you can't add on other techniques to achieve the complete new look that you've been hoping for. Your facial plastic surgeon can easily combine various techniques to deliver these desired results.

Is rhinoplasty a permanent procedure?
A rhinoplasty is permanent in the sense that as long as your facial features are fully developed, then your nose won't change shape on its own. That being said, rhinoplasty is also reversible and unpleasant results can be corrected through revision rhinoplasty if necessary.

What is the best age for a rhinoplasty?
Most 13-year-old girls and 15-year-old boys are old enough physically for a rhinoplasty-that is, the nose is adult size. However, a patient's emotional maturity also plays a role in timing a rhinoplasty. Teens and young adults need to approach this procedure for what it is: a better nose. For elderly patient's, there is no predetermined cutoff age for having rhinoplasty. An elderly adult in good health may be perfectly fit to have the procedure. There have been cases of patient's 70 - 80 years old having a Rhinoplasty performed with minimal to no complications. The ideal age range for Rhinoplasty are patients aged 20 - 40 years old, during this time your facial skin is still mostly elastic and can accommodate surgical procedures without complications.

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