Rhinoplasty Surgery

What Rhinoplasty Surgery Does

Rhinoplasty is a surgical procedure that changes the shape or structure of the nose. It may be performed for cosmetic reasons to alter the appearance of the nose, or for functional reasons to improve breathing when structural issues affect the nasal passages. During a consultation, individuals can discuss their concerns, expectations, and the possible outcomes of surgery. Recovery periods may vary depending on the extent of the procedure, and patients are usually given post-operative care instructions to support the healing process. In some cases, rhinoplasty may also involve reconstructing internal nasal structures to improve airflow and nasal function.

What are the Types of Rhinoplasty?

The choice between open and closed rhinoplasty depends on the specific goals, individual anatomy, and the surgeon’s expertise.

Open Rhinoplasty

In open rhinoplasty, the surgeon makes an incision across the columella, the strip of tissue between the nostrils. This allows the surgeon to lift the skin and soft tissues, providing a clear view of the nasal structures. It is particularly useful for complex or extensive nasal reshaping as it offers greater visibility and control during the procedure. However, it leaves a small external scar on the columella, although it tends to fade over time.

Closed Rhinoplasty

In closed rhinoplasty, all incisions are made within the nostrils, resulting in no visible external scarring. The surgeon accesses the nasal structures through these internal incisions, allowing for reshaping and modification. Closed rhinoplasty is commonly preferred for cases that require less extensive changes or for patients who desire a quicker recovery time. It may have certain limitations in terms of visibility and access compared to open rhinoplasty.

Who Can Benefit From Rhinoplasty Surgery

Rhinoplasty may be considered for individuals who wish to change the appearance of the nose or address structural issues that affect nasal function. During a consultation, the doctor will assess the nasal structure, discuss the individual’s concerns, and determine whether surgery may be appropriate.

Individuals Seeking Cosmetic Changes

Some individuals may consider rhinoplasty to alter the external shape or proportions of the nose. Concerns may include the size of the nose, a prominent nasal hump, asymmetry, or changes to the nasal tip. The procedure may involve modifying bone, cartilage, or soft tissue to achieve the desired structural changes.

Individuals With Breathing Difficulties

Rhinoplasty may also be considered when structural issues inside the nose affect breathing. Conditions such as a deviated septum, narrow nasal passages, or other structural abnormalities may contribute to airflow obstruction. In these cases, surgery may focus on correcting the internal nasal structure to support better airflow.

Individuals Requiring Nasal Reconstruction

Some individuals may require rhinoplasty as part of reconstructive treatment following injury, previous surgery, or conditions that affect the nasal structure. The procedure may involve rebuilding or reshaping parts of the nose to restore its structure and function.

Who Should Avoid Rhinoplasty Surgery

Although rhinoplasty surgery may be suitable for some individuals, it may not be appropriate in certain situations. A thorough medical evaluation helps determine whether surgery is advisable based on the individual’s health, expectations, and circumstances.

Individuals With Certain Medical Conditions

Some medical conditions may increase the risks associated with surgery or affect the healing process. The doctor may review the individual’s medical history, medications, and overall health before determining whether rhinoplasty is appropriate.

Individuals With Psychological Concerns About Appearance

Rhinoplasty involves changes to facial appearance, which may have emotional and psychological implications. Individuals who feel uncertain about their expectations or motivations for surgery may be encouraged to discuss these concerns during the consultation before making a decision.

Individuals With Lifestyle Factors That May Affect Healing

Certain lifestyle factors, such as smoking or activities that may affect recovery, can influence the healing process after surgery. In some cases, individuals may be advised to modify these habits before considering rhinoplasty.

Younger Individuals Whose Facial Growth Is Not Complete

Rhinoplasty is usually considered once facial growth has stabilised. For younger individuals, the doctor may recommend postponing surgery until the nasal structures have fully developed.

Individuals With Previous Nasal Procedures

People who have undergone previous nasal surgery may require additional evaluation before further procedures are considered. The doctor may assess the existing nasal structure and discuss whether revision surgery is appropriate.

Risks of Rhinoplasty

Rhinoplasty is generally safe, but it is a surgical procedure that carries certain risks. It’s important to be aware of these potential complications to make an informed decision.

Infection

As with any surgery, there is a risk of infection following rhinoplasty. Proper postoperative care and following your surgeon’s instructions can minimise this risk.

Bleeding

Bleeding is a common risk associated with the procedure. While minor bleeding is typical, excessive bleeding may require medical intervention.

Anaesthesia Complications

General anaesthesia is commonly used during surgery, and while complications are rare, they can include reactions to the anaesthesia, respiratory issues, or cardiovascular problems.

Scarring

Incisions made during rhinoplasty can result in visible scars, especially if the procedure involves open surgery. Our surgeon strives to make incisions in less noticeable areas, but scarring remains a possibility.

Nasal Obstruction

Changes to the nasal structure can sometimes lead to nasal obstruction or difficulty breathing. This may require additional procedures to correct.

Asymmetry and Dissatisfaction

Achieving perfect symmetry is challenging, and there is a risk that patients may be dissatisfied with the aesthetic results. In some cases, a revision rhinoplasty might be needed.

Numbness

Temporary or permanent numbness in the nasal area or upper lip can occur due to nerve damage during surgery.

Prolonged Swelling

While swelling is expected post-surgery, in some cases, it can persist longer than usual, delaying the final results.

Skin Discolouration

Bruising and skin discolouration around the nose and eyes are common post-surgery and typically fade over time. In rare cases, it can be prolonged or permanent.

What to Expect Before Rhinoplasty

Preparing for rhinoplasty in Singapore involves several important steps to help achieve the best possible outcomes. Here’s what you should expect:

Initial Consultation

Meet with your surgeon to discuss goals, medical history, and nasal structure evaluation.

Medical Evaluation

Undergo blood tests, imaging studies, or physical exams to assess your nasal structure.

Expectation Setting

Have an open discussion with your surgeon to ensure your goals are realistic.

Preoperative Instructions

Follow your surgeon’s advice, including avoiding certain medications or smoking before surgery.

Planning for Recovery

Make arrangements for post-surgery care, such as having someone drive you home and staying with you for the first 24 hours.

Lifestyle Adjustments

In the weeks leading up to your surgery, maintaining a healthy diet, staying hydrated, and avoiding alcohol can improve recovery.

Mental Preparation

Understand the surgery process and recovery timeline to set realistic expectations and reduce anxiety.

Informed Consent

You’ll need to sign a consent form, acknowledging the risks, benefits, and potential complications of rhinoplasty.

What to Expect After the Procedure

Recovering from rhinoplasty in Singapore is a critical phase for achieving optimal results:

Postoperative Monitoring

After surgery, you’ll be monitored until the anaesthesia wears off, with nasal packing or splints in place.

Pain & Discomfort

Expect some discomfort; your surgeon will prescribe medication to manage this.

Swelling & Bruising

Common in the first days after surgery and will gradually improve with time.

Follow-Up Appointments

Regular check-ups with your surgeon will ensure proper healing and allow for the removal of nasal packing or splints. Your surgeon will address any concerns and monitor your recovery.

Activity Restrictions

Avoid strenuous activities for a few weeks; light activities can resume within a week.

Final Results

The complete outcome may take up to a year as your nasal tissues heal and settle.

Post-Recovery Tips

Taking care of yourself after rhinoplasty is crucial to facilitate a smooth recovery and achieve the desired results. Here are some tips to help you through the healing process:

Keep Your Head Elevated

Sleeping with your head elevated can reduce swelling and bruising. Use extra pillows or a wedge pillow to keep your head above your heart level, especially the first week after surgery.

Apply Cold Compresses

Cold compresses on your nose and cheeks can help reduce swelling and discomfort. Apply them for short intervals throughout the day, particularly during the initial days of recovery.

Avoid Strenuous Activities

Refrain from strenuous physical activities, heavy lifting, and intense exercise for at least four to six weeks. Gentle walking is encouraged to promote blood circulation without straining the body.

Maintain a Nutritious Diet

Eating a balanced diet rich in vitamins and minerals supports the healing process. Focus on consuming fruits, vegetables, lean proteins, and whole grains. Staying hydrated is also vital for recovery.

Follow Your Surgeon’s Instructions

Comply strictly with your surgeon’s postoperative care instructions. This includes taking prescribed medications, attending follow-up appointments, and avoiding activities that could affect your healing nose.

Testimonials

Dr Dennis Chua is an Ear, Nose, and Throat (ENT) Doctor in Singapore, specialising in Facial Plastics & Reconstructive Surgery and helms a clinic located in Mount Elizabeth Hospital. Dr Chua completed his medical training at the National University of Singapore (NUS) before obtaining further qualifications in Edinburgh (UK). He also pursued a fellowship in the United States.

He is fully accredited as an ENT surgeon by the Ministry of Health (MOH) and Singapore Medical Council, with a specialisation in Otorhinolaryngology. Notably, Dr Chua is one of the few ENT specialists who are internationally board certified in Facial Plastics & Reconstructive Surgery, which encompasses expertise in rhinoplasty. This makes him well positioned to perform rhinoplasty in Singapore.

He is actively involved in research on rhinoplasty, regularly sharing his experience through international invitations, book chapters, and research publications. Dr Chua is dedicated to educating and mentoring young professionals in his field, offering lectures and mentorships to future medical service providers. Learn more about Dr Chua in our About Us page.

Book Chapter published by Dr Dennis Chua in Facial Plastic Surgery (Thieme) June 2015 on “Correcting the Post-traumatic Nasal Deformities”

Dr Dennis Chua- Part of the International Consensus on Functional and Aesthetic Rhinoplasty, Paris IFOS ENT Meeting 2017

Dr Dennis Chua invited to share his experience in the “International Consensus on Functional and Aesthetic Rhinoplasty”

Dr Dennis Chua

Consultant ENT Specialist in Singapore

MRCS (Edinburgh), MMed (ENT), FAMS (ENT)

Dr Dennis Chua is a USA Fellowship-trained ENT specialist and Facial Plastic Surgeon with over 20 years of experience. He treats adults and children for a wide range of ENT conditions, including sinus and nasal disorders, allergies, snoring, ear infections, hearing loss, and thyroid or voice-related issues. A former Chief of Facial Plastic Surgery at Tan Tock Seng Hospital, Dr Dennis Chua is highly experienced in complex nose and sinus cases and serves as a Visiting Consultant at KK Women’s & Children’s Hospital.

Frequently Asked Questions

What Happens During the Rhinoplasty Procedure?

During rhinoplasty, the surgeon makes incisions, often inside the nostrils (closed rhinoplasty) or sometimes with a small external incision (open rhinoplasty), to access and reshape the bone and cartilage of the nose. The surgeon can adjust the nose’s size, shape, and symmetry according to the patient’s goals. Afterward, the incisions are closed, and the nose is typically packed with gauze or splints for support.

What is the Recovery Process Like?

Recovery from rhinoplasty involves some swelling and bruising around the nose and eyes, which typically subsides over a few weeks. Patients should follow their surgeon’s post-operative instructions, which may include keeping the head elevated, avoiding strenuous activities, and caring for the incision sites. Full results can take several months to become apparent.

What is the Difference Between Rhinoplasty and Septoplasty?

Rhinoplasty focuses on reshaping the external appearance of the nose for aesthetic reasons, while septoplasty corrects structural issues within the nasal septum to improve breathing.

Is Rhinoplasty a Painful Procedure?

There is some discomfort associated with the procedure during the initial recovery period. This can be managed with prescribed medications and following postoperative care instructions.

How much does surgical rhinoplasty cost in Singapore?

In Singapore, the cost of surgical rhinoplasty depends on how complex the procedure is, whether implants or cartilage grafts are used, and the extent of functional reconstruction required. According to the Ministry of Health (MOH) fee benchmarks (procedure code SM720N – Septorhinoplasty), the surgical fee for this surgery typically ranges from SGD 6,000 to SGD14,200.

Beyond the surgeon’s fee, the individual should also expect additional expenses such as anaesthesia, hospital or day-surgery facility charges, medication, surgical consumables, pre-operative consultations, imaging if needed, and post-operative reviews or aftercare. Because of these factors, the total cost can vary.

What problems can rhinoplasty correct?

Rhinoplasty can address both functional and cosmetic concerns. Functionally, it can correct breathing difficulties caused by a deviated septum, narrow nasal valves, or prior injuries. Cosmetically, it may refine the nasal tip, straighten the bridge, reduce a hump, or adjust nostril size for better balance with the rest of the face.

Is rhinoplasty suitable after nasal trauma or injury?

Absolutely. Rhinoplasty can restore the shape and function of the nose after accidents, fractures, or previous surgeries, ensuring both structural support and a natural appearance.

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