How Is Rhinoplasty Done? A Step-by-Step Guide

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Rhinoplasty, commonly known as nose surgery, is a plastic surgery procedure performed to reshape the nose, improve facial balance, or correct breathing problems. It can be done for cosmetic reasons, functional reasons, or both.

Understanding how rhinoplasty is done helps patients feel more confident and prepared for the procedure.


What Is Rhinoplasty?

Rhinoplasty is a surgical procedure that modifies the bone, cartilage, or soft tissues of the nose to achieve the desired shape or function. It may be performed to:

  • Change nose size or shape

  • Correct a crooked nose

  • Improve nasal breathing (deviated septum)

  • Repair injury-related deformities

  • Enhance facial harmony


Step 1: Consultation & Pre-Surgery Planning

Before surgery, the plastic surgeon will:

  • Evaluate facial structure and nasal anatomy

  • Discuss aesthetic goals and expectations

  • Review medical history and medications

  • Take photographs for surgical planning

  • Explain risks, outcomes, and recovery

Imaging or simulations may be used to explain expected results.


Step 2: Anesthesia

Rhinoplasty is usually performed under:

  • General anesthesia, or

  • Local anesthesia with sedation

This ensures the patient is comfortable and pain-free during surgery.


Step 3: Surgical Technique

There are two main techniques used in rhinoplasty:

Closed Rhinoplasty

  • Incisions are made inside the nostrils

  • No visible external scars

  • Used for minor to moderate corrections

Open Rhinoplasty

  • A small incision is made at the base of the nose (columella)

  • Provides better visibility and precision

  • Used for complex or major reshaping


Step 4: Reshaping the Nose

During the surgery, the surgeon may:

  • Remove or reshape bone and cartilage

  • Correct nasal septum deviation

  • Refine the nasal tip

  • Narrow or widen the nasal bridge

  • Improve breathing structure

Each step is customized to the patient’s anatomy and goals.


Step 5: Closing Incisions & Support

After reshaping:

  • Incisions are carefully closed with sutures

  • Internal splints may be placed to support healing

  • An external nasal splint is applied to maintain shape


Step 6: Recovery After Rhinoplasty

Immediate Recovery

  • Swelling and bruising around nose and eyes

  • Mild pain or discomfort

  • Nasal congestion

First 1–2 Weeks

  • Splint removal

  • Bruising subsides

  • Return to light activities

Long-Term Healing

  • Final shape settles over 3–12 months

  • Minor swelling may persist for months


Risks & Safety Considerations

Rhinoplasty is generally safe when performed by a qualified plastic surgeon. Possible risks include:

  • Swelling or bleeding

  • Infection

  • Asymmetry

  • Breathing issues (rare)

  • Need for revision surgery

Choosing an experienced surgeon significantly reduces risks.


Conclusion

Rhinoplasty is a carefully planned and precisely performed procedure that reshapes the nose to improve appearance and function. From consultation to recovery, each step is customized for safety and natural-looking results.

If you’re considering nose surgery, consult a qualified plastic surgeon to understand whether rhinoplasty is right for you and what results you can realistically expect.


FAQ : 

1. How long does rhinoplasty surgery take?

Typically 2 to 3 hours, depending on complexity.

2. Is rhinoplasty painful?

Pain is usually mild to moderate and well-managed with medication.

3. Will there be visible scars?

Closed rhinoplasty leaves no visible scars. Open rhinoplasty leaves a small, barely noticeable scar.

4. When can I return to normal activities?

Most patients return to work in 7–10 days, but strenuous activity should be avoided for several weeks.

5. Are rhinoplasty results permanent?

Yes. Once healing is complete, results are long-lasting.