Nose Reshaping Frequently asked questions
Dr. Abel Mounir is board-certified and was trained in Plastic surgery centre in Germany. He has been running in private aesthetic practice since 20 years. Dr Mounir gained experienced and a mature surgical judgment. He consults his Rhinoplasty patients in Manchester and Liverpool City, and operates at the First Trust Hospital in Preston and Pall Mall Hospital, Newton-le-Willows.
What you should know about Nose reshaping
The objective of Rhinoplasty surgery or the so-called nose Job is to reshape the structural anatomy of the nose. The cosmetic alterations of shape of the nose could be the result of injury that has affected the nasal shape or to correct a genetic imbalance in proportions of the nose that also affects patient’s look. The rhinoplasty procedure is designed to correct issues that include:
Over-projecting or so-called Long/drooping tip
Length or width of the nose
If you do have a breathing problem then the surgery is mainly functional. The cause of the breathing problem is usually due to the septum deviation. If this is your main and only concern, Dr Mounir will advise you initially to see your GP as usually the NHS covers this. If however, your main objective is to improve the shape of the nose then the surgery is purely aesthetic. The cosmetic issues are either due to bump on the dorsum of the nose or bulbous and ill-defined tip of the nose with unappealing nose projection.
Are you a Good Candidate for Rhinoplasty
You are a good candidate if:
You have finished growing and you are over 16 year old.
If you are healthy mentally and physically
Your nose is affecting your self-esteem and if the size or the shape of your nose is bothering you.
You do have breathing problems and/or shape asymmetry of the nose.
In some cases, Dr. Mounir may offer a non-surgical rhinoplasty using fillers instead of a surgical procedure. Effectively fillers can smooth bumps, and especially camouflage areas that are depressed. Non-surgical option is best suggested to patients who want small changes in their nasal look and do not want massive changes.
The best way to understand the difference beween non-surgical and surgical rhinoplasty and which aesthetic nasal technique is best for you is to schedule a consultation at Manchester Cosmetic Centre.
Your Rhinoplasty Procedure in Manchester with Dr. Mounir
Dr. Mounir has performed hundreds of rhinoplasties in his career. After listening to your concerns and assessing your nose, he will advise you whether you should have an open or closed rhinoplasty in order to meet your expectations. He will explain to you that during a closed approach, all the cuts are performed inside the nose, and no visible external scars remain when surgery is done. In open Rhinoplasty technique, only one external incision is at the midline of your columella. This scar heals normally very well and it is rarely a matter of concern unusual for patients.
Dr. Mounir has performed hundreds of rhinoplasties in his career. After listening to your concerns and assessing your nose, he will advise you whether you should have an open or closed rhinoplasty in order to meet your expectations. He will explain to you that during a closed approach, all the cuts are performed inside the n
ose, and no visible external scars remain when surgery is done. In open Rhinoplasty technique, only one external incision is at the midline of your columella. This scar heals normally very well and it is rarely a matter of concern unusual for patients.
The Open rhinoplasty is a nose reshaping procedure where the skin between the nostrils called columella is opened and lifted to get access to the cartilage and bone of the nose. Open rhinoplasty is Dr Mounir’s preferred approach for primary (first) rhinoplasty since it facilitates the understanding of the cosmetic issue (pathology) and so increases the chance to reshape the nose successfully.
Usually will start the surgery by infiltrating local anaesthesia to keep you comfortable during the procedure. Incisions will be made as agreed with Dr Mounir during your initial consultation either inside or through the columella. Depending on your expectation and the planned reshaping Dr Mounir may be add or reduce some cartilage tissue from your nose to produce the desired cosmetic outcome. After the needed reshaping has been achieved all incisions are closed with dissolving stitches. All patients are automatically monitored and clinically checked until they have recovered from the anaesthesia before final discharge with nasal splint.
After your Surgery
As you may know, nose reshaping does often involve breaking the nose bone and therefore you will need a splint to maintain the new shape of your nose during the healing process. Most patients will have also kind of splints inside the nose as internal support during the initial phases of the healing process. Dr Mounir tends not to use nasal packing after rhinoplasty. He will provide you with more detailed information regarding the benefit of your external and internal nasal splints. Bruising and swelling are normally expected and varies from person to person. Generally, the most of the swelling resolves in the first two weeks, but you will still have some residual swelling that may stay for up a year after your nose operation. Please be aware that the nose’s appearance will continue to improve and continue to refine for many months following surgery. It will take up to 12 months before you would see the final result as the downtime varies. Dr Mounir will advise you to take at least two weeks off from work or school after rhinoplasty.
How much would my nose change?
The objective of the nose reshaping surgery is to mainly refine the nose rather than change it drastically. Most of Dr Mounir’s patients expect subtle changes, such as a bump removal or tip correction, and these slight changes are usually enough to produce a more aesthetically
attractive look. Most of your close friends will notice your new look but won’t necessarily guess that you had a rhinoplasty.
Is Rhinoplasty painful?
The simple answer to this question is no. However, because of your nasal temponade, you would be forced to breath from your mouth for the first 3 to 4 days and this is usually very unpleasant. Also you may complain about nasal congestion. This is a normal part of the healing process and you should not worry about it.
Do I need a septoplasty?
If you do have some breathing problems due a septum deviation then most probably you do need a septoplasty. Dr Mounir will examine your septum and will make you aware if it is deviated to the side. He will explain to you the risks and complications associated with septoplasty such as perforations, bleeding and recurrence of deviation.
What kind of anaesthesia do I need?
Generally speaking Dr Mounir uses General anaesthesia for rhinoplasty. However, for small adjustments such as tipplasty a local anaesthesia is possible option.
How Should I prepare for your Nose reshaping surgery?
Dr Mounir will ask you to stop taking any aspirine or anti-inflammatory drugs for at least 10 days before the surgery. Eating a high protein meal in the evening the night before surgery is always advisable. Arnica is sometimes helpful and could reduce the swelling and bruising after the surgery.
What are the risks associated with a Rhinoplasty surgery?
Bleeding and swelling after are normal. Although some patients do experience more swelling and bruising than others. Infection is possible and this is why Dr Mounir will prescribe you antibiotics after the surgery. Other risks are:
Tip mal position (over or under rotation)
Not enough reduction of the Bump
Too much reduction of the bump (ski-slop deformity)
Deviated septum leading to the asymmetry of the nose.
Can I proceed with Rhinoplasty if I am a smoker?
Dr Mounir will ask you to stop smoking at least 6 weeks before the surgery and 2 weeks after the surgery to reduce the risk of infection.
Where will my Rhinoplasty procedure be performed?
To ensure your comfort and safety, Dr. Mounir will plan and perform your surgery at CQC accredited surgery hospitals.
When can I return to work after Rhinoplasty
Dr Mounir will advise you to take at least 2 weeks off of work to allow the swelling and bruising to go down postoperatively.