Rhinoplasty is an operation undertaken to change the shape of the nose. This can be performed for functional or cosmetic reasons.
A functional septorhinoplasty is performed to improve the breathing passage of the patient. These are usually necessary when the nasal valves are narrow and needs correction. If there is a crooked nose affecting the nasal passage, this can also be corrected at the same time.
See Book Chapter published by Dr. Dennis Chua on “Correcting the Post-traumatic Nasal Deformities Facial Plastic Surgery (Thieme)” June 2015
This is usually performed under general anesthesia. Rhinoplasty can be performed via an open approach (which includes a small scar on the lowest part of the nose) or via an endonasal approach (scarless) approach. Dr. Dennis Chua is proficient in both techniques and can advise you accordingly.
Refer to videos on the right.
See publication on alar batten grafts to help improve breathing in functional rhinoplasty (refer to 3rd video on the right)
Generally even if the surgery is performed via an open approach, the scar on the nose if closed correctly should be barely visible after a few months.
Picture of a transcolumellar incision bare visible at 6 months after surgery.
This depends on the type of rhinoplasty needed. If a lot of cartilage is needed to strengthen the support structure, ear cartilage is harvested from a scar hidden at the back of the ear. This does not change the shape or appearance of the ear.
If a larger amount is needed, sometimes rib cartilage can be used from the chest for this reason.
For functional septorhinoplasty, these are medically indicated procedures and are generally covered by insurance. For cosmetic rhinoplasty, there will usually be an out of pocket cost to it.
There will usually be brown tapes over the nose for 1 week after the procedure. After the tapes are removed, the nose will still be swollen though usually not very obvious. If osteotomies were done to refracture the nose for realignment, there will be a little bruising over the nose or eyes during the first 10 days.
Swelling over the nose will take months to dissipate. Nasal tip swelling will take 6 months to resolve though these swelling tend to be minor and not noticeable by others.
Dr Dennis Chua is one of the few International Board Certified Facial Plastic Surgeon that can perform rhinoplasty with great expertise. He is also part of the International Consensus on Functional and Aesthetic Rhinoplasty that discusses the latest guidelines on rhinoplasty.
He is invited several times a year to share his experience on rhinoplasty and has also published several book chapters and articles on rhinoplasty.
"Scarless” Endonasal Rhinoplasty
Open Approach Rhinoplasty
Alar batten grafts used to improve breathing in rhinoplasty
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