Reduction rhinoplasty corrects the structural framework of the nose itself by removing or re-arranging the nasal cartilage and/or bone to achieve the desired nose shape and size. This procedure can be performed via incisions placed inside the nostrils without leaving behind any visible stitches or scars (closed rhinoplasty). In a condition where the nasal tip or the lower third structure of the nose need to be reshaped, a tiny incision is made on the underside of the nose just between the nostrils (open rhinoplasty). This technique will leave a small scar, and its location makes scar inconspicuous.
Indications for reduction rhinoplasty include:
- To alter the hump at the bridge of the nose
- To reshape the tip of the nose
- To change the length or width of the nose
- To change the width of the nostrils
- To remove excess fibrofatty tissue or skin on the nose.
Occasionally chin augmentation can be performed to complement a rhinoplasty. These procedures are popular with both men and women to create facial harmony. For men, creating a stronger or shorter nose, along with a stronger jawline, is often the objective. Women sometimes wish to have a more petite nose and less pointy chin.
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Preoperative evaluation before reduction rhinoplasty
Communication is vital to achieving the patient’s goals. During the initial consultation, patients should discuss their goals and expectations with the plastic surgeon. The plastic surgeon will work closely with the patients to reach an agreement about the desirable results from the surgical procedures involved and their long term benefits. Every patient is different. Therefore a specific treatment regimen is planned to suit an individual’s need.
- Discussion about expectation and desired outcome
- Medical conditions, drug allergies and previous medical or surgical treatment
- Use of current medications, vitamins, herbal supplements, alcohol, tobacco and drugs should be revealed
- Discussion of type of anaesthesia
- Examination and measurement of the face and nose
- Photography for preoperative and postoperative evaluation
Preparation for reduction rhinoplasty
- Get laboratory testing or a medical evaluation
- Adjust your medications if you have certain medical conditions
- Stop smoking and alcohol well in advance of the scheduled date for surgery
- Avoid taking aspirin, anti-inflammatory drugs and herbal supplements before surgery
The risks and safety information on reduction rhinoplasty
The practice of medicine and surgery is not a perfect science. Therefore, some risks may occur even in the hand of an expert. Although good results are usually achievable, some potential risks may arise such as
- Poor wound healing
- Numbness (temporary)
- Skin discolouration
- Skin contour irregularities
- Post rhinoplasty swelling
- Nasal asymmetry
- Alteration in the nasal airway
- Possibility of revision surgery
- Anaesthesia risks
Postoperative expectations of reduction rhinoplasty
Recovering from reduction rhinoplasty usually takes about 7-14 days in most cases. After the surgery, there may be swelling, bruises, numbness or discomfort for several days which can be controlled with oral medications, cold compression and ointment. Some patients may experience nose stuffiness or nose bleeding. A splint or bandage is usually placed on the surface of nose for a short time to assist the nose to retain its new shape will it heals. Oral antibiotics and analgesics are prescribed to reduce the risk of infection and postoperative pain, respectively. Any external sutures on the nose will be removed about 7-10 days after the surgery.
How much will a reduction rhinoplasty surgery cost?
Cost is always a consideration in elective surgery. Reduction rhinoplasty prices can vary widely.
The cost of reduction rhinoplasty may include:
- Surgeon’s fee
- Hospital or surgical facility costs
- Anaesthesia fees
- Prescriptions for medication
- Medical tests
When rhinoplasty is performed for nasal trauma or to improve breathing function, this procedure is considered as reconstructive surgery and may be covered by insurance. If rhinoplasty is performed for cosmetic reasons, it will not be covered by most of the health insurance companies. This requires a detailed examination to verify the cause before authorisation from your insurer. Patients are advised to contact their insurance company for further verification.