Nose Reshaping and Straightening Surgery (Septorhinoplasty)

What is a septorhinoplasty?

A septorhinoplasty, also known as nose reshaping and straightening surgery, is a procedure that combines functional and cosmetic improvements to the nose. It improves breathing by addressing problems with the nasal septum (the wall inside your nose that separates the nostrils) while also correcting issues with the shape, size, or alignment of your nose.

Why might you need a septorhinoplasty?

You may require a septorhinoplasty if you have difficulty breathing through your nose or wish to enhance the appearance of your nose. This procedure can help with:

• Deviated septum: When the nasal septum is crooked, causing blockages in one or both nostrils.
• Nasal injuries: Trauma that has affected the nose’s structure and appearance.
• Chronic breathing difficulties: Persistent issues that haven’t improved with non-surgical treatments.
• Congenital issues: Birth defects or developmental abnormalities affecting the nose.
• Cosmetic concerns: Issues such as a hump on the bridge of the nose, a crooked appearance, or an overly large or small nose.

A septorhinoplasty can address both functional and aesthetic concerns, helping you breathe more easily and feel more confident about your appearance.

What preparation is required?

To prepare for a septorhinoplasty, your surgeon will guide you through the following steps:

• Medical assessment:
  Your medical history will be reviewed, and a physical examination or imaging may be performed to evaluate the internal and external structure of your nose.
• Medication adjustments:
  If you’re taking blood-thinning medications, such as aspirin or warfarin, you may need to stop them temporarily to minimise the risk of bleeding.
• Lifestyle changes:
  Avoid smoking and alcohol in the weeks leading up to surgery, as these can affect healing.
• Fasting:
  You will need to avoid eating and drinking for 6–8 hours before surgery, as the procedure is performed under general anaesthesia.
• Post-surgery arrangements:
  Plan for someone to drive you home and assist you during the first few days of recovery.

What does the procedure involve?

A septorhinoplasty is performed under general anaesthetic and typically takes 1.5 to 3 hours. The surgery involves:

• Straightening the septum (septoplasty):
  The surgeon corrects any deviation in the nasal septum to improve airflow and breathing.
• Reshaping the nose:
  The surgeon adjusts the size, shape, or alignment of your nose to meet your aesthetic goals. This may involve removing, reshaping, or adding cartilage or bone.

The procedure can be performed using one of two approaches:

·       Closed surgery: All incisions are made inside the nostrils, leaving no visible scars.

·       Open surgery: A small incision is made on the columella (the skin between your nostrils) for better access, leaving a tiny, barely noticeable scar.

 Your surgeon will recommend the best approach based on your individual needs.

Whats are the benefits of septorhinoplasty?

This procedure offers both functional and cosmetic improvements. After a septorhinoplasty, you may experience:

• Improved breathing and relief from nasal blockages or chronic congestion.
• A more balanced and symmetrical appearance of your nose.
• Enhanced self-confidence and satisfaction with your facial profile.

A better quality of life due to easier breathing and improved aesthetics.

Risks and complications

A septorhinoplasty is a safe procedure, but like any surgery, it carries some risks, including:

• Infection: Rare and treatable with antibiotics.
• Bleeding: Minor bleeding is normal, but excessive bleeding may require medical attention.
• Scarring: Open surgery may leave a small scar, though it typically fades over time.
• Changes in sensation: Temporary numbness or reduced sensitivity around the nose is common.
• Unsatisfactory results: Rarely, revision surgery may be needed if the results don’t meet expectations.

Your surgeon will discuss these risks with you and address any concerns.

What to expect after surgery

Hospital stay:
Most septorhinoplasty procedures are performed as day cases, meaning you can go home the same day. In some cases, an overnight stay may be necessary.

Pain and swelling:
It’s normal to experience some discomfort, swelling, and bruising around your nose and eyes for the first few weeks. Pain relief and cold compresses can help manage these symptoms.

Nasal packing and splints:
You may have nasal packing or splints to support healing. These are typically removed within a week.

Activity restrictions:
Avoid strenuous activities, heavy lifting, and contact sports for about six weeks. Follow your surgeon’s advice regarding when you can return to work and normal activities.

Final results:

Recovering from a septorhinoplasty takes time, but with proper care, you’ll soon enjoy the benefits. Most people feel well enough to resume light activities within two weeks. Protect your nose from trauma, attend follow-up appointments, and follow your surgeon’s advice for a smooth healing process While you may notice improved breathing soon after surgery, the final cosmetic results can take up to a year as swelling gradually subsides.