Rhinoplasty: What to Expect
Functional rhinoplasty evaluates external shape, septum, nasal valve support, and breathing quality together.
Before
- Nasal endoscopy, septum-turbinate assessment, nasal valve testing, and CT planning when needed are completed.
- Standardised pre-op photos are taken; goals are discussed around breathing, profile, tip, and facial balance.
- Smoking, alcohol, blood thinners, and uncontrolled allergic rhinitis may affect healing; do not stop medication without clinician guidance.
- International patients usually arrive one day before surgery and stay 5–7 days for control visits.
- A conservative first approach with a 2-week check-in provides safer expectation management.
During
- Admission and identity check, anaesthesia assessment; general anaesthesia is applied.
- Open or closed technique is chosen according to case complexity; the septum is corrected.
- Cartilage grafts may reinforce nasal valve and tip support.
- Bone-cartilage shaping follows natural facial proportions; aggressive reduction is avoided because it can harm breathing.
- Silicone splints or an external cast may be part of the plan; classic gauze packing is usually avoided in modern protocols.
After
- During week 1, swelling, pressure, bruising around the eyes, and congestion are expected; pain is usually mild to moderate.
- Cast/splints are removed around days 7–10; social return is usually possible within 10–14 days.
- For 3 weeks avoid intense exercise, heat, swimming, and activities with risk of nasal impact.
- Results clarify by month 3 and are judged at month 12; revision discussion usually waits 12 months.
- Check visits at months 1, 3, 6, and 12; remote follow-up is supported for international patients.
Frequently Asked Questions
- Will packing be used?
- Most modern plans use airway-preserving silicone splints rather than classic gauze packing.
- When will breathing improve?
- Early weeks vary due to swelling; noticeable improvement often starts at weeks 3–6, with full benefit over 3–6 months.
- Will there be an external scar?
- Open technique leaves a small columellar scar; closed technique has no external scar. Scars typically fade over 3–6 months.
- What is the revision rate?
- A revision rate of ~5–8% is standard; influencing factors include technique, scarring, and healing biology. Revision is evaluated no sooner than 12 months.
Risks
- Asymmetry or contour irregularity
- Temporary or permanent sensory change
- Infection or wound-healing issues
- Unexpected effect on breathing
- Need for revision surgery
This guide does not replace a personal examination and treatment plan. Base all medication, surgery, or travel decisions on your clinician's written recommendation.