Midlands Specialist Centre
Dr Bronwen Schoenfeld
MBBCh (WITS) FCS Plast (SA)
Specialist in Plastic and Reconstructive Surgery
corrective rhinoplasty
CORRECTIVE NOSE SURGERY / RHINOPLASTY
Rhinoplasty derives its name from the Greek : rhis, nose + plassein, to shape.
A nose job, is a plastic surgery procedure for correcting and reconstructing the form, restoring the functions, and aesthetically enhancing the nose, by resolving nasal trauma (blunt, penetrating, blast), congenital defect, respiratory impediment, and a failed primary rhinoplasty.
The nose you've always wanted:
There are numerous reasons why people today have nose surgery and with that there are hundreds of surgical techniques to allow an array of changes to be made. Many people suffer trauma to their nose and need the correction but many patients simply have confidence issues because of minor asymmetries. These can all be corrected.
There are some restrictions with regard to what can be achieved but Dr.Schoenfeld will discuss that with you during the initial consultation.
What options do you have?
Depending on your current nose and desired outcome Dr.Schoenfeld will need to perform either an open or closed Rhinoplasty (Corrective Nose Surgery).
If you require nasal septum correction as well, Dr Schoenfeld typically involves an Ear, Nose and Throat surgeon for combined input in the surgery, in order to optimize your results.
The procedures available:
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Reshape the nose completely.
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Reshape the tip of the nose.
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Enlarge or reduce the nasal flares.
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Flatten defect to the bridge of the nose / nasal hump deformity.
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Correct any deviances in shape or symmetry.
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Correct “bent” nasal bridges.
What is most important when considering Rhinoplasty surgery is to work with an experienced surgeon with whom you feel comfortable. Your aesthetic needs will be taken into account but your result will be based upon what your current nose and facial structure will allow.
Alternatives to Rhinoplasty
Unfortunately there are no alternatives to the permanent result from surgery, but Dr.Schoenfeld can use Botulinum toxin (Botox/Dysport) and Dermal Fillers in certain circumstances to offer you a non-permanent representation of what she wants to achieve with the surgery, or to make minor corrections. This option however does delay surgery by up to a year.
How is the surgery performed?
There are 2 distinct types of Rhinoplasty surgery.
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Open Rhinoplasty.
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Closed Rhinoplasty.
Each technique has advantages based upon your aesthetic requirements.
In both techniques the incision is made through the tip of the nose and within the nasal flare, hiding the scar inside the nasal passages.
Open Rhinoplasty is a full dissection of the nose and is used for full reconstructions. Closed Rhinoplasty involves minor dissection and is used for more minor corrections. Your specific surgery will be discussed in detail during the consultation process.
Rhinoplasty surgery is normally a long surgery lasting on average 120 minutes and is always done under general anaesthetic. You may be required to spend the night in hospital to ensure your comfort. You will wake with a splint on your nose and nasal plugs. These are unfortunately uncomfortable but necessary for the first 12 hours.
Recovery
Following Rhinoplasty surgery you will always be a little swollen and bruised. Your nose is a sensitive area and you will not be allowed to entertain any contact sports or physical activity risking the nose for 6 weeks. You will also be advised to not bend down for too long for the initial recovery weeks. Once the splint is removed your new nose will be immediately visible but the full extent of the result however will only be visible up to 6-12 months later, as the internal cartilage of the nose will take that long to recover.
Although the recovery from Rhinoplasty surgery is significant, the satisfaction rates are high. Correct surgical planning by Dr.Schoenfeld makes for very knowledgeable and informed patients and this combination makes for good aesthetic results. Patients benefit from improved nasal aesthetics and confidence.