Rhinoplasty

rhinoplasty

Rhinoplasty or more commonly known as a nose job, is a plastic surgery procedure that changes the structure of the nose. This procedure can be for both aesthetic and functional purposes. Rhinoplasty can be either:

  1. Augmentation rhinoplasty
  • Increasing the height of the nasal bridge
  • Increasing the height of the nasal tip
  • Increasing the length of the nose
  1. Reduction rhinoplasty
  • Reducing the height of the nasal bridge/ dorsal hump
  • Reducing the width of the nasal bridge
  • Reducing the height of the nasal tip
  • Reducing the width of the nasal alar
rhinoplasty dr ko

In augmentation rhinoplasty, various types of materials can be used:

1. Autografts

  •  Septal cartilage
  • Ear cartilage
  • Rib cartilage
  • Dermofat graft

2.Allografts

  • Human cadaver rib cartilage

3. Xenografts

  • Bovine or porcine based

4. Alloplasts

  • Silicone
  • Gortex (ePTFE)
  • Semi Gortex (silicone wrapped in ePTFE)
  • Absorbable threads
  • Injectables e.g. hyaluronic acid, calcium hydroxyapatite

Approach to rhinoplasty can be either:

Open

  • Incision is done at the columella and nostrils
  • Direct access for nasal implant insertion and tip augmentation work
  • Small inconspicuous scar at the columella

Close

  • Incision in the nostrils
  • Indirect access for nasal implant insertion
  • No scar at columella
dr ko rhinoplasty
dr ko rhinoplasty

Before you decide on which method, do consult a qualified and experienced plastic surgeon to discuss about:

  • Your expectation
  • Any pre-existing medical condition or known allergy
  • Any pre-existing nose problems or previous nose surgery
  • Which method is a better option
  • Details of the procedure and choice of anaesthesia
  • Risks and complications of procedure and recovery period

Complications of rhinoplasty include:

  • Post-operative haematoma
  • Infected implant
  • Implant extrusion/ deviation/ migration
  • Cartilage resorption
  • Asymmetrical nostrils
  • Prominent scarring

Post-surgery care involves nasal packing for 48 hours to reduce risk of haematoma, steristrips application over the nose to reduce swelling and nasal splint to protect the operated nose. Swelling and bruising generally resolve within 1-2 weeks. For a rhinoplasty to achieve a stable result, it may take up to 6-12 months.

 

Dr-Kathleen-DR.KO-Plastic-Surgeon-1

By Dr Kathleen Chang
Consultant Plastic Surgeon & Reconstructive surgeon
Ko Skin Specialist Centre.

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