Who, What, How: Surgical Rhinoplasty with Mr David O'Donovan

Surgical Rhinoplasty
This week we asked Consultant Plastic Surgeon, Mr David O’Donovan, to take us through the Who, What, How of Surgical Rhinoplasty – or nose reshaping. This is a consistently popular procedure with our patients, for many reasons.

Rhinoplasty can change many things about your nose, including your nose size (in relation to your face), nose width at the bridge, your nose profile and the size and position of your nostrils. Rhinoplasty can also reshape the nasal tip and correct nasal asymmetry, as well as correct certain breathing difficulties such as those due to a deviated septum.

From a functional standpoint, rhinoplasty can correct certain breathing difficulties such as those due to a deviated septum. Rhinoplasty is also an option for certain birth defects and for noses that have been injured in car or sports accidents.

What is it? ▫️Rhinoplasty is a nose-reshaping plastic surgery. For major nose reshaping, the incisions are made in the vertical strip of skin separating the nostrils. This is called the columella. The skin and soft tissue are then elevated off the underlying structures of the nose so the surgeon can see the nasal anatomy. This is called Open Rhinoplasty. For minor reshaping, many surgeons make incisions within the nose. The skin of the nose is then separated from the bone and cartilage, which form its supporting framework. Once exposed, bone and cartilage can be removed, reshaped, augmented or rearranged to achieve the desired new shape. This is called Closed Rhinoplasty.

Who should perform it? ▫️A Consultant Plastic Surgeon.

Who is a suitable candidate? ▫️A patient who is self-conscious about their nose, the size or width of it, in relation to their face, or bothered by a structural anomaly, a hump or bump. It’s also suitable for a patient who suffers with breathing difficulties due to a deviated septum or has sustained a serious nose injury.

How long do the results last? ▫️The results are permanent.

What is the downtime? ▫️Patience is key post-op as results are not immediate and can take several months, to a year in some cases, for swelling to completely subside
On about day seven post-op, the cast or splint is removed and may be replaced. Your nose will still be swollen, but after two weeks much of the swelling will have decreased. One month after the surgery, approximately 85% of the swelling will have gone down.
Anything else you should know Before deciding on Rhinoplasty surgery? ▫️Be sure to discuss treatment options with your plastic surgeon. Nose reshaping can be and is transformative for many patients but it’s important that you fully research the procedure, the potential risks and the quality of your surgeon’s work, aligning your expectations, before you are comfortable to proceed.

If you’d like to book a consultation with either Mr David O’Donovan or Mr Richard Hanson – Consultant Plastic Surgeons at the Institute – please get in touch with us at (01) 912 3030.