The Harley Medical Group

Nose reshaping is an increasingly popular cosmetic procedure and with the introduction of non-surgical techniques, is becoming more and more accessible. Here we are taking a deep dive into the key differences between surgical and non-surgical nose reshaping procedures.

The difference between surgical and non-surgical rhinoplasty

Surgical Rhinoplasty involves making incisions in the skin and making changes to the shape of the bone and cartilage in the nose. Non-surgical rhinoplasty offers a less invasive alternative to surgical interventions for those searching for a way to correct, enhance or alter the shape and appearance of the nose. Dermal fillers are injected under the skin in specific locations to alter the proportions and contours of the nose to give the illusion of a thinner, straighter or more symmetrical appearance.

Non-surgical rhinoplasty vs surgical: The pros and cons

As with any aesthetic procedure, there are pros and cons that make the different options more suitable for some patients than others.

Non-surgical techniques provide solutions that are less costly, associated with fewer risks and require shorter recovery periods. Whereas surgical Rhinoplasty facilitates a more drastic, permanent change to the shape of the nose.

The nature of surgical Rhinoplasty means that it is associated with greater risk than non-surgical Rhinoplasty, especially when performed under general anaesthetic. A study published in The Aesthetic Surgery Journal found that the overall complication rate of surgical Rhinoplasty was 0.7%[1] and some of the risks include:

Non-surgical rhinoplasty is considered to be safe and complications are rare but there is a risk of swelling, bruising and redness around the injection sites. A safety review published in The Journal of Facial Plastic Surgery and Aesthetic Medicine found that serious events occur in just 0.2% of cases when administered by a Doctor[2].

Non-surgical vs surgical nose job: Who is suitable?

Surgical Rhinoplasty is most suitable for patients who are searching for a permanent solution to their cosmetic concerns and where more significant changes are required. Non-surgical rhinoplasty is a suitable alternative for many patients looking to make minor adjustments to the contours of the nose or smoothen small bumps and irregularities.

However, there are circumstances where it would not be possible to achieve a patient’s desired results with non-surgical Rhinoplasty. Some examples of when this might be the case include:

In these cases, surgical intervention may be more appropriate. In any instance, the most suitable approach for your aesthetic goals should be discussed with your expert at The Harley Medical Group during a free no-obligation consultation. You can read about the most important questions to ask your Rhinoplasty surgeon here.

If you would like to explore how non-surgical Rhinoplasty can help you to achieve your desired results, sk:n, the UK’s leading skin clinic, provides non-surgical nose job treatments administered by highly trained and experienced expert clinician injectors.

 
Sources:

1. Layliev J, Gupta V, Kaoutzanis C, Ganesh Kumar N, Winocour J, Grotting JC, Higdon KK. Incidence and Preoperative Risk Factors for Major Complications in Aesthetic Rhinoplasty: Analysis of 4978 Patients. Aesthet Surg J. 2017 Jul 1;37(7):757-767. doi: 10.1093/asj/sjx023. PMID: 28472446.

2. Rivkin A. Nonsurgical Rhinoplasty Using Injectable Fillers: A Safety Review of 2488 Procedures. Facial Plast Surg Aesthet Med. 2021 Jan-Feb;23(1):6-11. doi: 10.1089/fpsam.2020.0291. Epub 2020 Dec 2. PMID: 33270519.

What is a deviated septum?

The nasal septum is essential in providing the nose with structure and enabling effective passage of warmed and humidified air through the nose. The septum can become deviated in several ways including C and S-shaped deviation, septal outpouching and septal perforation. When this happens it can cause obstruction and interference with the flow of air through the nose, leading to a sensation of blockage in the nose, difficulty sleeping, pain and recurrent nose bleeds.

If you are unsure about whether you are experiencing septal deviation and are wondering how to tell if you have a deviated septum, there are a number of signs and symptoms that are linked to the problem. Alongside the symptoms mentioned earlier, you might have been told that your breathing is noisy during sleep, you might have an unusual awareness of your breathing or a preference for sleeping on one side.

How to fix a deviated septum?

Deviated septum can be corrected using specialist deviated septum surgery, or Septoplasty, which can often be combined with nose reshaping in a Septorhinoplasty operation. In Septoplasty, incisions are made in the internal lining of the nose to expose the underlying cartilage and bone. Any corrections that need to be made to the shape of the septum can then be completed.

The operation is one of the most commonly performed facial plastic surgery procedures and is usually completed under general anaesthetic. The procedure is relatively short and commonly takes between an hour and 90 minutes. Similarly to Rhinoplasty, following Septoplasty, the surgeon may place packing inside the nostrils and use splints to maintain the shape of the septum.

A question that is commonly asked by patients is ‘Can I get a nose job with a deviated septum?’. The answer to this question varies depending on the individual and the extent of any breathing difficulty. Your expert surgeon will need to determine whether improving cosmesis with Rhinoplasty could further compromise breathing to an unacceptable level. In cases such as this, it may be necessary to repair the nasal septum alongside Rhinoplasty. So, in short, it is absolutely possible to have a nose job with a deviated septum, but septal correction may be required in tandem.

Benefits of deviated septum surgery

The main advantage of undergoing septum correction surgery is to improve your ability to breathe and eradicate the symptoms associated with septal deviation. Whether it be headaches and sinus pain, or nose bleeds and breathing difficulty that affect your quality of life, Septoplasty with The Harley Medical Group may provide the optimum solution.

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When is the right time? Will a deviated septum get worse?

If you struggle with your breathing and are becoming concerned about how your life is being affected, it is important to understand the cause. There are many potential explanations, but an issue with your septum is something that can be resolved.

If you have been diagnosed with a deviated septum, this will not repair of its own accord and should not be left alone. Crucially, it is possible for deviated septa to worsen with time as the nasal structures change throughout life.

The expert team here at The Harley Medical Group are available to explore your options for septum correction surgery, understand your concerns and create a treatment plan that suits you and your goals. Book a consultation with one of our experienced Patient Advisors to make your breathing difficulties a thing of the past.

Regardless of the type of rhinoplasty, open, closed or even non-surgical, swelling is expected following the procedure and is a normal component of the recovery process. The extent of any swelling depends on a number of factors including the type of reshaping technique, the surgical approach and individual skin properties. With non-surgical rhinoplasty there may be some minor swelling, bruising and itching, particularly around the injection sites. However, this will be minor in comparison with surgical rhinoplasty.

During the consultation process at The Harley Medical Group, your surgeon will explain and discuss the anticipated level of swelling in your personal circumstances but here we will take a look at what you can expect, the stages of swelling after rhinoplasty and what can be done to reduce swelling.

Rhinoplasty swelling timeline

It is no secret that the rhinoplasty recovery process requires patience and determination to achieve your desired results. This is due to the masking of final results by postoperative inflammation due to facial trauma and longer-term swelling as a result of fluid retention.

Here we have created a timeline of rhinoplasty swelling week by week to guide your expectations either in preparation for your procedure or to support you during your recovery period. In a study published in the Journal of Plastic and Reconstructive Surgery, more than 97% of facial swelling resolved within 1 year of rhinoplasty surgery, and 95% within 6 months. It is clear then that the time it takes for the final facial contours to be revealed varies between individuals.

How to help swelling after rhinoplasty?

  1. Ensure that any strenuous activity is avoided during the initial 2-week period
  2. Shower and bathe using lukewarm water only during the first week
  3. Engage with your post-operative care plan provided by the experts at The Harley Medical Group
  4. Stop smoking before surgery and continue to avoid smoking during the aftercare period
  5. There is limited evidence that arnica ointment or supplementation can help to reduce swelling following surgery

What to eat after rhinoplasty to reduce swelling?

  1. Reduce salt intake during recovery to help minimise water retention. Opting for low sodium alternatives can be an easy way to do this
  2. Eat a well-balanced diet incorporating the recommended daily intake of vitamins and minerals. It may be helpful to supplement Vitamins C, A and K if you suspect that your diet may not provide an adequate supply of these

 
Sources:

Pavri S, Zhu VZ, Steinbacher DM. Postoperative Edema Resolution following Rhinoplasty: A Three-Dimensional Morphometric Assessment. Plast Reconstr Surg. 2016

Glancing in the bathroom mirror or reviewing those recent family photos and being met with the surprise of unwelcomed fullness under the jaw is an experience that many people have suffered. A double chin is a result of excess fat tissue or skin underneath the jaw that is a common cause of self-consciousness and discomfort.

Fortunately, a double chin is not something that needs to be accepted and there are solutions that can alter the contours of the jaw and restore self-confidence. In this article we will shed light on the causes of a double thin, some of the available treatments and some examples of results.
 

What causes a double chin?

It is a common misconception that the sole cause of a double chin is weight gain and that only overweight people are affected. However, there are several factors that come together as a group of causes that impact a diverse range of people at various points in their life.

 

How do you get rid of a double chin?

The ideal double chin treatment for any individual depends on the cause. A double chin that is caused by excess fat can be treated effectively using liposuction. A technique known as tumescent liposuction is used commonly to treat the chin area as it is useful in removing smaller volumes of fat. In many cases this type of liposuction requires only local anaesthesia and an overnight hospital stay would not be necessary. Whilst recovery times vary depending on the individual, it is expected that a full recovery would be made within 1-2 weeks. If you would like to, you can read more about the different types of liposuction here.

If a double chin is caused by excess loose neck skin or a dysfunctional platysma muscle, a neck lift procedure (or platysmaplasty) may be more appropriate. During this procedure any unnecessary excess skin is removed, resulting in a tightened, rejuvenated appearance.

If you would like to discover more about how The Harley Medical Group can help you to achieve the results you desire, book a free no-obligation consultation to discuss your circumstances with an experienced patient advisor.

The Advertising Standards Authority (ASA) is the UK’s independent advertising regulator that makes sure ads across UK media stick to the advertising rules. They have announced that the Committee of Advertising Practice (CAP) and Broadcast Committee of Advertising Practice (BCAP) are introducing new targeting restrictions that prohibit cosmetic interventions advertising from being directed at under-18s.

The new targeting restrictions came into effect on 25th May 2022 and essentially require that:

At The Harley Medical Group we acknowledge and appreciate the new rules behind these cosmetic advertisements and why they’ve been put in place. Particularly because this ensures that young people who may be more vulnerable to these advertisements aren’t exposed to them and therefore isn’t impacting on their self-esteem, wellbeing, mental health and behaviours.

Children and young people’s body image perceptions and their susceptibility to pressures to change their appearance are hugely influenced by a number of social and cultural factors.
Evidence shows that exposure to different forms of media including advertising, particularly those that focus on body image ‘improvements’ such as cosmetic intervention procedures, is likely to exacerbate body image dissatisfaction and negativity during vulnerable stages of their lives.

In a paper published by The Harley Medical Group’s Mr Amir Sadri in the Journal of Plastic, Reconstructive and Aesthetic Surgery, the increased media attention on aesthetic surgery was analysed. Between 1991 and 2013, the number of articles relating to the field increased from 45 to over 3500. Mr Sadri shared that accessibility of aesthetic surgery has widened over recent years, but that social media and celebrity culture has led to the significance of surgery being underplayed.*

CAP and BCAP will conduct a 12-month post-implementation review to ensure that the new rules are functioning as intended. The Harley Medical Group openly acknowledges and supports these informative changes.

 
*Amir Sadri, Reza Nassab, Cosmetic surgery and the press: A 22 year review of a growing relationship, Journal of Plastic, Reconstructive & Aesthetic Surgery, Volume 68, Issue 2, 2015, Pages 269-270, ISSN 1748-6815,
https://doi.org/10.1016/j.bjps.2014.10.017.

For years, there has been a stigma around men seeking cosmetic treatment. Yet with an overall 15% year on year increase in enquiries at The Harley Medical Group, it seems men have pushed past the stigma and are starting their journey to prioritising their self-confidence.

From rhinoplasties to liposuction, Mr T K Sankar, Chief Medical Officer and Consultant Plastic Surgeon at The Harley Medical Group, exclusively reveals the top surgical cosmetic treatments men have been turning to.

Surgical Treatments for Men

I’ve seen a large uptake in men enquiring about cosmetic surgery – especially within the last year or so due to the pandemic. With the zoom boom phenomena, people are becoming more aware of their appearances after having to stare at their faces on camera. It has had a significant impact on self-confidence, especially for men who hadn’t previously spent too much time in front of the mirror.

Whilst in the past it may have been more taboo for men to seek out cosmetic treatments, it’s becoming more common, especially in today’s culture where people are feeling empowered to embrace self-confidence. Below are the three most popular treatments enquiries amongst men.

Rhinoplasty

Accounting for 21% of enquiries, Rhinoplasty is the second commonest surgery within our group and one of the most popular facial procedures in the UK and has seen significant growth over the last few years, and especially during the pandemic.

The nose is such a central part of the face, a facial feature that not many people were used to staring at on camera all day long. Before undergoing surgery, it is vital to understand the client’s expectations to ensure they are aligned with what is realistic and achievable.

Brandon, aged 24 from Northamptonshire came to The Harley Medical Group for an open rhinoplasty, amending his septum and removing the bump from the bridge of his nose. 

before and after male rhinoplasty

“I felt self conscious about my nose and breathing was also an issue, I could only sleep in one position making it quite uncomfortable at times. My family has noticed I’m a lot more confident. For anyone that’s looking to get it done, I’d highly recommend The Harley Medical Group!”.

 

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Liposuction

But it’s not always about the faces. We are also seeing an increasing trend towards minimally or non-invasive treatments to aid in reducing stubborn pockets of fat that are hard to shift with diet and exercise. Conventional liposuction, with the assistance of power, water, laser, ultrasound or radiofrequency driven devices, has become more popular in the recent years (accounting for 18% of surgical enquiries amongst men), to achieve precise and desired outcomes.

From spending more time at home and indulging in comfort foods, some men have become increasingly aware of love handles or the increase in tissue around the breasts and are looking to reduce them. Liposuction surgery can be performed on most parts of the body and the technique is often used as part of other cosmetic surgery procedures, such as a tummy tuck or male breast removal to achieve the desired result. Therefore, it is always a popular treatment for our clients.

However, when considering liposuction, it’s important to understand that if you remove a large amount of fat you are likely to have loose skin and therefore you may also need skin removal or skin tightening treatments to take place afterwards to achieve the desired look. It is also important to know that the liposuction is not a weight reduction surgery.

 

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Eye Bag Removal

Getting older can take its toll on your appearance, particularly to the skin around the eyes which can become loose and wrinkled, start to sag, and make the eyes look tired, adding years to the face. Since wearing masks I have noticed an increase in male clients looking to tweak the eye area. Because of this, many have become self-conscious about the appearance of dark circles and under eye bags – which is why eye bag removal surgery has accounted for over 8% of male enquiries.

Blepharoplasty, also known as eye bag removal or eyelid surgery, helps to restore youthfulness to the face and despite the name, this procedure helps to improve the appearance of the overall eye area. If you opt for lower blepharoplasty, or a combination of upper and lower eyelid surgery, this will almost always be performed under general anesthesia.

Your surgeon will make an incision along the lower lash line before removing any excess fat (often known as eye bags) and stretching the skin to ensure a smooth finish. Once the incision has been stitched, any excess skin will be removed and you will be left with smoother, younger looking skin underneath the eyes.

 

Often, we have clients wanting to look like celebrities, however, it’s important to remember that even with surgery you will still look like you, so understanding and accepting this is really important before embarking on your cosmetic surgery journey. Our job as surgeons is all about improving our client’s psychological self-awareness and the quality of their day to day life. This can be achieved only by delivering patient centered safe and appropriate surgical procedures.

If you would like to explore how The Harley Medical Group can help you achieve your goals, book a free-no obligation consultation with a patient advisor today.

An important element of the Rhinoplasty recovery process involves preventing infection. Although infection rates following this kind of surgery are low at around 0.62%, if the complication does occur it can lead to a number of unwanted effects. Wound infection can impair the healing process and if allowed to spread, even cause sepsis. This is why it is important for all patients to understand what they can do before and after their surgery to avoid infection.

In this article we’ll take a deep dive into how to prevent infection, what to look out for in recognising an infection and what to do if you suspect an infection.

 

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It all starts before surgery

Although it may seem like infection prevention is only relevant after surgery, there are steps that can be taken in the run up to the procedure. The most important change to make is to stop smoking if that is currently an issue. Smokers are more likely to experience serious complications during and after surgery, including impaired wound healing and increased susceptibility to infection. So it is a good idea to bear in mind how much time will be needed to engage with a smoking cessation program when booking a procedure.

Keep the incision site clean

The most likely site of infection when it comes to Rhinoplasty is in and around the incision site. So, it makes sense that the mainstay of infection prevention is proper wound care. Ensuring that you adhere to your surgeon’s advice around cleaning your incision site is the single most important thing you can do to prevent infection. There is no need for harsh, alcohol-based solutions or abrasive cleaning materials. Clean, lukewarm water with a mild antimicrobial soap is sufficient. According to your surgeon’s instructions, you may need to keep the wound covered after cleaning. If so, ensure that the skin is rinsed properly and allowed to air dry before covering. Regular, effective handwashing with warm soapy water can also help to ensure things stay as clean as possible.

When can I wash my face after rhinoplasty?

In the initial few days after surgery, it is important to keep any dressings, splints or packing dry and untouched. Careful facial cleansing is permitted during this time providing that this does not disrupt the incision site. Once the bandages have been removed you will be able to clean the incision site according to the instructions and clean your face more thoroughly. It is important to only use lukewarm water for at least 2 weeks after surgery to avoid irritating the wound.

Antibiotics

If your surgeon has prescribed antibiotics for you to take after surgery, it is essential that these are taken properly, and the course completed entirely. It is common for patients to feel so well following surgery that they feel antibiotics are no longer necessary. However, ending a course early increases the chances of developing an antibiotic-resistant infection.

How long after rhinoplasty can I wear makeup?

The answer to this question depends on one major factor, the type of rhinoplasty that has been performed. You can read in detail about the differences between open and closed rhinoplasty here. In summary though, open rhinoplasty involves incisions being made on the external skin of the nose and in closed rhinoplasty incisions are made inside the nose. Makeup products and applicators commonly harbour bacteria, even if cleaned regularly, so it is essential that no makeup is applied on top of, or around incision sites. This is especially important in open rhinoplasty.

Exactly when makeup can be applied will be confirmed by your surgeon or nurse counsellor on an individual basis, but after 1-2 months of recovery, most patients will be able to apply makeup as normal excluding the incision site.

Signs of infection after rhinoplasty

Being aware of how to recognise an infection is crucial for all patients following surgery. Commonly, infected wounds can become red, swollen and painful. There may also be an unusual discharge that appears pus-like, yellow or foul smelling. If the skin begins to change colour, especially dark brown or even black, this is considered an emergency and immediate medical attention should be sought. Signs that the infection has become more widespread are fever, sweating and even confusion.

If you don’t have any of the worrying symptoms but are simply concerned that things don’t look or feel right, you should contact your nurse counsellor or surgeon at The Harley Medical Group here. However, if you experience any of the more severe symptoms, it may be necessary to seek emergency care straight away.

The decision to undergo rhinoplasty surgery is based on extensive research, a lengthy thought process and consideration of the pros and cons. The same is true when it comes to deciding which rhinoplasty surgeon to choose.

It is critical to find an appropriately qualified, trained and experienced surgeon who you can trust with your safety and wellbeing, and this can be a complex process.

There are several important factors that you should consider during your search:

  1. GMC Registration – All UK based doctors and surgeons must be registered with the GMC in order to obtain a licence to practice. You can verify the credentials of any UK surgeon by searching their name or GMC number on the GCM register.
  2. Does the surgeon specialise in performing rhinoplasty? Many reputable providers publish profiles of their Surgeons for patients to review. These include details of each Surgeon’s training, experience and patient reviews. You can access the profiles of all The Harley Medical Group experts here.
  3. It is essential to ensure that your chosen surgeon operates through a provider that is registered with the relevant regulatory body. Either the CQC in England or the HIW in Wales.

 

How to prepare for rhinoplasty consultation

Before attending your rhinoplasty consultation, you should prepare a list of questions for your chosen surgeon. This should include any worries or concerns you have relating to the procedure itself, the risks, outcomes and recovery. Below we have collated a list of questions you might like to include:

  1. Will you be the person performing the surgery?
  2. What experience do you have in rhinoplasty?
  3. What will the procedure involve?
  4. What are the potential complications or risks and how likely are they to occur?
  5. What results can I expect?
  6. What does the recovery process involve, how long will this be and how will I be supported during the aftercare process?
  7. Can I decide not to undergo the surgery at any time, even if I have previously given my consent?
  8. Can I view Before and After images from rhinoplasties you have performed?

 

Does rhinoplasty require general anaesthesia?

One thing in common between all types of surgical rhinoplasty is that anaesthesia is required. Anaesthesia helps to ensure that the procedure is pain-free and can be completed safely.

With rhinoplasty there are usually two anaesthetic options:

Click here to read more about the different rhinoplasty techniques.

 

How long does it take to recover from rhinoplasty?

The rhinoplasty recovery process requires patience. Your body must be provided with the time it needs to repair and recuperate following a procedure as complex as nose reshaping.

Although the entire recovery process can take up to a year to complete, patients often return to work as early as 2 weeks after surgery and resume normal levels of activity (excluding strenuous exercise) by the end of the 3rd week.

 

 

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Does open rhinoplasty leave scars?

Although open rhinoplasty involves making an incision on the external visible portion of the nose and scarring is possible, with expert-led surgery and postoperative care these incisions often heal well. Any scarring from open rhinoplasty would not be easily noticeable since it would be located on the underside of the nose.

 

How long does a non-surgical rhinoplasty last?

Non-surgical rhinoplasty utilises injectable dermal fillers to alter the contours of the nose. These products will be metabolised by the body over time and the results are therefore temporary, lasting for 6-18 months depending on the filler product used.

Click here to book your free virtual consultation.

Surgical rhinoplasty is an increasingly popular method of nose reshaping and if you are considering the procedure you are probably searching for more information relating to the risks involved. The safety of the procedure can be considered from the perspective of both the anaesthetic, and the surgery itself.

In the same way as any procedure involving general anaesthetic, there is an element of risk associated with rhinoplasty. This is why at The Harley Medical Group, a specialist Anaesthetics Doctor is present before, throughout and after the surgery to ensure that the anaesthetic is as safe as possible. Before surgery, the Anaesthetist will identify any allergies and discuss the likelihood of any complications in individual cases, allowing the patient to make an informed decision on whether or not to undergo surgery.

Although it is essential to be aware of the risks involved with surgical rhinoplasty, it is also important to rationalise those risks in terms of likelihood. A study published in The Aesthetic Surgery Journal found that the overall complication rate was 0.7%[1]. Below we have outlined some of the main risks involved with the surgical element of rhinoplasty.

What risks are involved with surgical rhinoplasty?

Is non-surgical rhinoplasty safe?

Non-surgical rhinoplasty offers a less invasive alternative to surgical interventions for those searching for a way to correct, enhance or alter the shape and appearance of the nose. Non-surgical techniques provide solutions that are less costly, associated with fewer risks and require shorter recovery periods. Non-surgical rhinoplasty harnesses specific, complex techniques to alter the proportions and contours of the nose to give the illusion of a thinner, straighter or more symmetrical appearance.

Whilst non-surgical rhinoplasty is absolutely a suitable option for many patients, the limitations of the technique mean that under some circumstances, it would not be possible to achieve a patient’s desired results. Some examples of when this might be the case include:

In these cases, surgical intervention may be more appropriate. In any instance, the most suitable approach for your aesthetic goals should be discussed with your expert at The Harley Medical Group during a free no-obligation consultation. We’ve compiled a list of questions that you should ask your surgeon here.

Although every procedure is associated with risks, non-surgical rhinoplasty is considered to be safe and complications are rare. A safety review published in The Journal of Facial Plastic Surgery and Aesthetic Medicine found that serious events occur in just 0.2% of cases when administered by a Doctor[2].

Unfortunately, without appropriate training, experience and equipment, the likelihood of serious complications including skin necrosis and infection is increased. This highlights the importance of visiting a regulated, clinician-led provider for all treatments involving filler products. At The Harley Medical Group, patient safety is of utmost concern and our expert clinician injectors have the skills and experience needed to deliver excellent results whilst prioritising safety.

Rhinoplasty before and after

Who shouldn’t undergo non-surgical rhinoplasty?

In addition to the reasons outlined earlier, there are a number of situations where the procedure would not be recommended. Any patient who lives with an autoimmune disease, a problem with blood clotting or an allergy to any of the ingredients in the filler products used may not be able to undergo non-surgical rhinoplasty. However, any specific concerns or personal circumstances should be discussed on an individual basis with the injecting Doctor.

If you would like to find out more about rhinoplasty and view our gallery of before and after's, you can visit our dedicated page here. You can also book a free, no-obligation consultation to explore which option would be best to achieve your desired results.

Sources:

  1. Layliev J, Gupta V, Kaoutzanis C, Ganesh Kumar N, Winocour J, Grotting JC, Higdon KK. Incidence and Preoperative Risk Factors for Major Complications in Aesthetic Rhinoplasty: Analysis of 4978 Patients. Aesthet Surg J. 2017 Jul 1;37(7):757-767. doi: 10.1093/asj/sjx023. PMID: 28472446.
  2. Rivkin A. Nonsurgical Rhinoplasty Using Injectable Fillers: A Safety Review of 2488 Procedures. Facial Plast Surg Aesthet Med. 2021 Jan-Feb;23(1):6-11. doi: 10.1089/fpsam.2020.0291. Epub 2020 Dec 2. PMID: 33270519.

Regardless of the type of rhinoplasty that has been performed, the recovery process requires patience, and adequate time must be allowed for recuperation following a procedure as complex as nose reshaping.

You will notice results after a few weeks when the swelling and bruising starts to reduce, however the the entire recovery process can take up to a year to complete, breaking it down into manageable portions and milestones can help with understanding: what is involved, the typical rate of progress, and how results will change and improve over time.

Immediately after surgery

Following completion of the rhinoplasty, bed rest and elevation of the head are essential.

There will be some variation in postoperative management depending on which surgical approach was used but a splint will be placed over the bridge of the nose for support and protection in most cases. Cold packs may also be placed over the eyes to reduce any bruising or swelling. Sterile gauze may have been placed inside both nostrils to absorb any fluid; this is called nasal packing. A sensation of congestion and inability to breathe through the nose are common whether or not packing has been used. There will also be tenderness around the eyes and cheeks. Appropriate medication will be offered to manage any pain felt after surgery.

You can read more about the different types of rhinoplasty here.

Day 1-3

During the first few days, bed rest in an elevated position is required; extra pillows can be used to maintain this position. This will help reduce any swelling and give the body the rest that it needs. A week off work or other obligations is recommended, although it is important not to rush this process and longer should be taken if necessary.

Avoid:

Try to:

Day 4-7

During the first few days, bed rest in an elevated position is required; extra pillows can be used to maintain this position. This will help reduce any swelling and give the body the rest that it needs. A week off work or other obligations is recommended, although it is important not to rush this process and longer should be taken if necessary. You may notice swelling or bruising around the eyes and cheeks, this is common and happens as a result of disruption to the blood vessels surrounding the eyes and nose during surgery. Any bruising and swelling will begin to subside as recovery progresses. At around day 7, the surgeon may decide to remove the splint covering the bridge of the nose and remove any stitches that aren’t dissolvable, this will take place during the postoperative appointment.

It is at this point when the first signs of results can be observed. However there will most likely be significant swelling in the nose, so it won’t be possible to fully appreciate the results of nose reshaping just yet.

Avoid:

Try to:

Week 2

Depending on the individual, it may be possible to return to work and other daily activities at the beginning of week 2. However exercise should be avoided, and activity kept to a minimum until at least the end of week 3 depending on the surgeon’s advice.

Week 3-4

Any swelling or bruising may begin to subside, but it is not uncommon for this to persist for longer especially in the tip of the nose. The overall shape of the nose will continue to evolve towards the final result as the swelling reduces. By the end of this time period there will often be very little evidence of surgery.

Month 2-3

Depending on the advice of the surgeon, it may be possible to resume any strenuous exercise or activity. It is possible that the tip of the nose may still be swollen or feel numb, but this will continue to resolve as recovery progresses.

Month 6

By 6 months, the post-rhinoplasty healing process is considered completed and any visible scarring will be in the process of fading.

The extent of scarring will vary depending on the type of rhinoplasty, you can read more on this here.

One year

It can take up to a year to fully appreciate the final results of rhinoplasty because swelling continues to dissipate in some areas of the nose for as long as this. At this point, the final results and renewed sense of self-confidence can be enjoyed.

rhinoplasty before and after

Our lovely patient Bethany came to us as she had problems breathing through her nose due to having a deviated septum. She opted for an Open Rhinoplasty surgery with the wonderful Dr George Samouris, and just look at how incredible the transformation was. He listened to her concerns and goals, and guided her through the consultation period enabling her to confidently choose us for her cosmetic procedure.

If you are considering rhinoplasty, a library of before and after images from patients who chose rhinoplasty at The Harley Medical Group is available for viewing here. There is also the opportunity to view images of results achieved by specific surgeons during a free consultation.

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