Before your operation
Our patients are seen on at least two occasions in the outpatient clinic prior to going ahead with surgery. Mr Jacques will conduct a thorough examination of the external and internal aspects of the nose, to evaluate all of the anatomical parts of the nose. We always allow plenty of time for patients to discuss their aims from cosmetic surgery, across multiple visits if required.
Detailed clinical photographs are always taken. These photographs are used for profile simulation (image morphing), to help with communication about the changes you want from your operation.
Subsequent visits are used for further discussion of your wishes, expectations and concerns, and to ensure that we agree about the aims and limitations of your operation.
Before surgery, any issues with your general health should be addressed, and any inflammation of the lining of the nasal cavity should be optimised. If you smoke, you should stop before surgery takes place.
After your operation
Rhinoplasty procedures are performed under a general anaesthetic (asleep). After the operation most patients return home the same day, or you may stay overnight in hospital to recover if required.
In the first few weeks after a rhinoplasty, the nose and face are often swollen, sometimes with visible bruising under the eyes. Most of the swelling tends to resolve over two to three weeks, but some milder swelling of the nose may be present for a number of months. Complete healing and resolution of swelling takes up to a year.
The nasal airway will feel congested, like having a heavy cold, and you will have some blood-stained nasal discharge, and occasionally small nosebleeds during the first few days.
You will be prescribed painkillers, decongestants, antibiotics, antibiotic cream, and sometimes other medications, to optimise your healing and make you more comfortable. Take pain relief regularly for the first few days, and try to sleep propped up on extra pillows.
We do not use nasal packing after surgery, as this causes discomfort and is not required. Your nasal dressing is removed about one week after the operation. We use dissolvable skin stitches, so there is no need to worry about them being removed.
You should avoid heavy lifting or exercise for around two weeks, and refrain from contact sports for at least three months.