Rhinoplasty
The nose is an important organ of respiratory function, serving as the starting point of the airway, allowing atmospheric air to enter and providing oxygen to the body.
In addition to its role in breathing, the nose is also a significant aesthetic feature located at the center of the face. It is one of the most noticeable points of the face, greatly contributing to an individual’s overall appearance. Its shape affects the composition of the face and can influence its overall look, making it vital for achieving facial balance and harmony.
What is Rhinoplasty and What Can It Correct?
Rhinoplasty is one of the best-known and most common plastic surgeries. Its primary goal is to aesthetically enhance the nose so that it harmonizes with the rest of the facial features. At the same time, the procedure can also correct functional breathing issues caused by the nose’s structure or due to trauma sustained in the past.
More specifically, rhinoplasty can correct:
- The size of the nose relative to the face
- The width, height, and bridge of the nose (including the “hump”)
- Structural asymmetries of the nose
- Deviated septum or septal dislocation
- The nostrils
- The tip of the nose
Rhinoplasty can be performed alone or combined with other surgeries. In theory, it can be combined with any other procedure, whether for the body or face. Frequently, it is combined with septoplasty, turbinate reduction (conchotomy), or chin augmentation (genioplasty), especially when nasal irregularities are associated with jaw deformities.
Closed vs. Open Rhinoplasty
Rhinoplasty is performed under general anesthesia and involves two basic approaches. The first is “closed” rhinoplasty, where incisions are made inside the nose. The second is “open” rhinoplasty, which includes the internal incisions plus a small external incision on the columella (the skin between the nostrils). This allows the surgeon direct visual access to the nasal structures, making it possible to achieve more precise results. The small external incision is virtually invisible after a few months, making it a worthwhile tradeoff for achieving the best possible result. The surgeon chooses the technique that best suits the patient’s needs and the specific characteristics of their nose, preserving both function and natural appearance. In some cases, rhinoplasty is combined with chin surgery for a more balanced overall facial result.
Ideal Candidates for Rhinoplasty
Ideal candidates for rhinoplasty are individuals of both sexes who:
- Have noticeable nose imperfections affecting their overall appearance
- Have nasal deformities caused by trauma or congenital conditions
- Have breathing difficulty due to structural issues
- Are at least 16–17 years old (allowing for completed facial growth)
- Have realistic expectations of the outcomes
- Are in good enough health for the procedure
Before deciding to undergo rhinoplasty, it is important to consult a qualified surgeon. The doctor will evaluate the patient’s suitability for the procedure, assess the complexity of the case, and recommend the best approach based on individual needs and medical history.
What to Expect Before Surgery
After confirming the patient’s concerns, the doctor will thoroughly evaluate the nose, identifying any aesthetic or functional issues (such as a deviated septum or enlarged turbinates). The surgeon will review medical history and order necessary preoperative tests (blood work, biochemistry, ECG, chest X-ray), unless further specialized investigations are required. Patients will be given detailed preoperative and postoperative instructions, which must be followed closely to minimize complications and optimize results. Maintaining open communication and following medical advice is crucial for a successful outcome.
What to Expect During and After Surgery
Rhinoplasty is typically performed under general anesthesia. In cases where breathing is affected (deviated septum, enlarged turbinates, or trauma), the surgeon will address these issues during the procedure. The surgery generally lasts between 1.5 and 3.5 hours, allowing the surgeon to make precise corrections and shape the nose in harmony with the rest of the face.
Post-surgery, breathing is done through the mouth for the first 48 hours due to internal nasal packing used to reduce bleeding, which is removed after three days. An external splint is placed to protect the nose and maintain its new shape for about eight days, and then used only at night for the first month. The patient can usually return home a few hours after surgery, unless an overnight stay is required. It is vital to adhere to the surgeon’s instructions, avoid physical strain, and maintain a supine sleeping position. More than 50% of the swelling subsides within the first month, and it will continue to diminish over the course of a year.
Possible Complications
- Swelling and temporary loss of nasal sensation, which gradually improves
- Bleeding, especially within the first 24 hours
- Anesthetic complications (very rare)
- Infection (very rare)
- Breathing difficulty, usually temporary
- Impaired wound healing
It is critical to follow your doctor’s instructions closely and report any concerns promptly to ensure any complications are addressed effectively and safely.
Final Thoughts
Read more in the relevant articles to understand the benefits of the treatments offered by our specialized practice. Do not hesitate to contact Plastic, Reconstructive, and Aesthetic Surgeon Dr. Daskalakis for any questions about rhinoplasty or any other plastic surgery concerns you may have!
References
- Abi Zeid Daou C, et al. Outcomes of Open Versus Closed Rhinoplasty: A Systematic Review and Meta-analysis. Plast Reconstr Surg Glob Open. 2025 Aug.
https://journals.lww.com/prsgo/fulltext/2025/08000/outcomes_of_open_versus_closed_rhinoplasty,_a.35.aspx - Reid D, et al. Ethnic Variations and Surgical Outcomes in Rhinoplasty: A Systematic Review. Aesthetic Plast Surg. 2025 Jun.
https://pubmed.ncbi.nlm.nih.gov/40494973/ - Gimenez AR, et al. Rhinoplasty Septal Cartilage Harvest and Reconstruction: The 4 Clicks. Plast Reconstr Surg Glob Open. 2025 Jan.
https://journals.lww.com/prsgo/fulltext/2025/01000/rhinoplasty_septal_cartilage_harvest_and.21.aspx
