Rhinoplasty Surgery

The nose plays an important role in the visual balance of the face. If its bridge, tip, width or projection feels out of proportion, rhinoplasty can refine selected structures to create a more harmonious appearance. The same operation may also address internal problems that make nasal breathing difficult.

Rhinoplasty can therefore serve both aesthetic and functional goals. Depending on the individual's needs, surgery may reshape the external framework, improve internal support, or combine both approaches. The aim is not to create an identical “ideal” nose, but to develop a result that fits the patient's facial anatomy and preserves appropriate nasal function.

Because every nose has different bone, cartilage, skin and airway characteristics, careful assessment is essential before deciding on the surgical technique. A personalised plan helps set realistic expectations about the changes that can be achieved and the recovery involved.

Rhinoplasty is a surgical procedure used to alter the shape, size, alignment or proportions of the nose. It may be chosen to improve facial balance, address a visible nasal concern, correct structural problems that affect breathing, repair changes caused by injury, or manage certain congenital differences.

Rhinoplasty and septoplasty can both involve nasal surgery, but they are performed for different primary reasons. To understand the distinction between reshaping the nose and correcting the nasal septum, read our guide on rhinoplasty vs septoplasty .

The surgeon may work with the nasal bones, cartilage, septum and surrounding soft tissue according to what needs to be corrected. Access can be created entirely inside the nostrils in a closed approach, while an open approach may use a small incision across the columella when greater visibility of the nasal framework is required.

Surgical changes can include refining the nasal tip, narrowing the nostrils, reducing a bridge or hump, improving alignment, or adding structural support. When grafting is required, cartilage may be obtained from suitable donor areas such as the septum or ear. The final plan is determined by the patient's anatomy, functional requirements and treatment goals.

Emotional and psychological readiness are important parts of a responsible rhinoplasty assessment. The discussion should consider the reason for surgery, the change the patient hopes to see and whether those expectations are achievable with a surgical procedure.

• Clinical guidance supports screening for concerns such as body dysmorphic disorder, significant mood or anxiety disorders, and other psychological factors that may influence surgical decision-making.
• Body dysmorphic disorder is reported more often among people seeking cosmetic procedures, including rhinoplasty, and unrealistic expectations can contribute to dissatisfaction even after technically good results.
• Patients showing patterns such as repeated procedures, very high expectations or persistent dissatisfaction despite an objectively satisfactory result may require particularly careful assessment before surgery.

Psychological screening is not about judging a patient's appearance or motivation. Its purpose is to make sure the decision to operate is appropriate, informed and aligned with achievable outcomes.

Pre-surgical investigations are chosen according to the patient's medical history, age, planned anaesthesia and the complexity of the operation. The exact tests therefore differ from one patient to another.

Commonly Considered Pre-Surgical Checks

• Complete Blood Count (CBC): may identify anaemia, infection or other blood-related concerns.
• Coagulation Profile: helps assess blood-clotting function when indicated.
• Electrocardiogram (ECG): may be advised when age, medical history or anaesthesia assessment makes it appropriate.
• Imaging such as CT or X-ray: can provide additional information about internal nasal anatomy when clinically necessary.
• Allergy and medication review: helps identify relevant reactions, current medicines and anaesthetic considerations.
• Urinalysis: may be requested when there is a clinical reason to check for infection or other concerns.
• Liver and kidney function testing: may be advised when medical history or medication planning makes these checks relevant.

Patients should provide a complete and accurate medical history, including previous operations, regular medicines, allergies and any conditions that may influence anaesthesia or healing.