Will I have bruising after my rhinoplasty?

You will always have bruising after a rhinoplasty. This is often seen by bruising around the eyes especially the lower eyes. This usually resolves in a week although occasionally it can take a little longer. The amount of bruising is related to the extent of surgery and whether the nasal bones need to be fractured. The bruising if no fractures have been performed is minimal.

When does the swelling go down?

Following rhinoplasty there is often swelling during the first few months. The swelling can remain apparent for longer than this and there are often areas that feel irregular. The final results from a rhinoplasty may only be apparent after a year.

When can I go back to work following a rhinoplasty?

After a face rhinoplasty your recovery and your job will dictate when you can return to work. I usually would advise patients to leave 2 weeks before returning to work although this does vary depending on each individual.

When can I fly following a rhinoplasty?

For all general anaesthetics I would recommend not flying for 4 weeks following any surgery requiring general anaesthetic. In certain scenarios it may be possible to fly sooner than this but the risks and complications e.g. DVT are increased if one flies sooner following a general anaesthetic. The risks are reduced if one wears thrombembolic stockings, drink plenty of fluids, mobilise during the flight and are only going on a short flight bit flying within 4 weeks is not recommended and patients wishing to fly before this should weigh up the pros and cons and alternatives.

When can I exercise following a rhinoplasty?

I would usually not recommend exercising in the first week. Walking is always encouraged although lifting should be limited. Following review at one week I would usually discuss what exercises would be best for you. Gentle exercise such as running and cycling can often be commenced after 2 weeks and swimming is encouraged once the wounds have healed. It is very important to avoid contact sports for a couple of months afterwards until the bones have completely healed.

What does a nose job entail?

A nose job or rhinoplasty is an operation designed to improve the shape of the nose.

I would like to have a rhinoplasty – can I reduce the dorsum without fracturing?

It is possible in certain patients to be able to do this and achieve a good result. As long as you are happy with the appearance from the front and you are happy with the tip it may be possible. It depends on the width of your nasal bones and the extent of reduction you wish to achieve. There are some limitations but it is worth discussing the varying options at a consultation.

Is there a disruption in sensation following rhinoplasty?

There will always be a disruption in sensation following a rhinoplasty although this is often related to the extent of surgery. It can take months for this sensation to return. It is uncommon to have permanent sensory loss and massage in the postoperative phases can help.

I want a rhinoplasty. Where are the scars?

The scars for rhinoplasty depend on what one is trying to achieve. There are generally two approaches. The first is the closed approach where an incision is placed inside the nose and the second is the open approach where the scar is placed on the outside of the nose on the underside of the nose. This scar can be visible when looking up from below. Generally the scars on the outside do fade with time. In the inside of the nose the scar is virtually never visible.

I have broken my nose and the middle part is wonky. How can this be fixed?

The middle part is called the septum. This can often be addressed by removing part of the septum and repositioning it. Often the septum, which is made of cartilage, is abnormally shaped all the way back into the nose and maybe combined with abnormal positioning of the nasal bones. Often a rhinoplasty is required to address both the bone and the cartilage.