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nose surgery

Nose reshaping (rhinoplasty) is performed to improve the nasal function, nasal aesthetics or both. As a craniofacial surgeon I often use nose reshaping techniques during nasal reconstruction for congenital deformities and trauma. The image below shows a cosmetic rhinoplasty.

The cost of nasal surgery depends on the theatre time. Either an estimate of costs or a fixed price is given after a consultation when the required surgical maneuvers are known. Mr Davis recommends reading through general information (which we are happy to send if contacted) about nasal surgery prior to a consultation.

BEFORE
AFTER
 
nose cosmetic surgery -  rhinoplasty nose cosmetic surgery -  rhinoplasty Standard dorsal hump reduction

Nasal function includes airflow through the nose and may be altered by manipulating the internal nasal valve, the alar, the nasal septum or the turbinates. The ways in which the nasal appearance may be altered are limitless (but have limits!) Altering the shape of a twisted nose usually involves manipulating the septum (septorhinoplasty) as its elastic nature may twist the nose again postoperatively. Ways in which the nose may be altered include;

  • reduction of a dorsal hump (often combined with chin augmentation)
  • creating a supratip break point –a curve near the nasal tip
  • lengthening or shortening the nose
  • decreasing the width of the nasal bones
  • refining the cartilage structure of the tip
  • correcting a hanging collumella
BEFORE
AFTER
 
nose cosmetic surgery -  rhinoplasty nose cosmetic surgery -  rhinoplasty This shows the effect of advancing the chin while concurrently reducing the dorsal hump of the nose.
nose cosmetic surgery -  rhinoplasty nose cosmetic surgery -  rhinoplasty Reduction of large down turned nose with concurrent lower eyelid blepharoplastcics
nose cosmetic surgery -  rhinoplasty nose cosmetic surgery -  rhinoplasty A saddle nose deformity due to a destroyed septum. The nasal projection has been recreated using carved rib cartilage struts.
nose cosmetic surgery -  rhinoplasty nose cosmetic surgery -  rhinoplasty The side of the nose has been deformed by cancer excisions in another centre. I have reconstructed the nose in 3 stages with a forehead flap over carved rib cartilage

 

Nasal reconstruction
Reconstruction of parts of the nose or an entire nose is performed following trauma, burns, cancer and some birth defects. Different tissues are used to form the outside of the nose, the skeleton framework and the internal lining.

Rhinophyma
Rhinophyma is an overgrowth of sebaceous glands and may cause grotesque distortions. The overgrowth is pared down and the nose allowed to reepithelialize over a period of 7-10 days.

Nasal implants
Some Asian races have a flat central nasal root and request augmentation of the entire nasal projection. This is typically done using a silastic implant which may be placed through an intraoral incision. It is critical not to have the implant under any tension as possible complications include having the implant erode through the skin of the nose.

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FACIAL SURGERY PROCEDURES
•   Facelift and neck

•    Brow lift
•    Eyelid
•    Nose
•   Chin

•    Ear

 

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