Rhinoplasty, Dr Frati

The nose is focal part of the facial appearance and many people can be unhappy with the shape of this feature. It may be too big, too small, too wide or too narrow or have a bump or bulbous end that makes the person feel this is unattractive feature and out of proportion with the rest of the face. Nose reshaping surgery (or rhinoplasty) is one of the most common cosmetic procedures performed by surgeons all over the world and helps thousands of people achieve the nose shape that they desire and to compliment their overall facial anatomy. Rhinoplasty can also be performed as part of a full face rejuvenation, incorporating face lift surgery and laser skin resurfacing.

Dr Riccardo Frati offers rhinoplasty to his patients from his Harley Street clinic and is a fully qualified plastic surgeon with extensive experience in this surgical procedure, using various techniques.

What is rhinoplasty?

Rhinoplasty is a surgical, invasive procedure usually performed under general anaesthetic. However, in some cases, depending on the technique used, local anaesthetic can sometimes be administered, meaning you can return home the same day. The exact procedure will depend on the aim of the treatment. The two main techniques used are called “open” or “closed”. Open means that some or all of the cuts are made outside the nose, whereas closed means all the cuts are made inside the nose.

Am I suitable for rhinoplasty?

Prior to any surgical or indeed, non-surgical procedure it is essential to have a comprehensive consultation with Dr Frati so that he can assess your general health, emotional wellbeing and to discuss the procedure, so that you are fully prepared and informed. Whilst there are no upper age limits to having your nose reshaped (providing you are in good health) Dr Frati recommends that patients wait until they are at least 18 years old before undergoing rhinoplasty to ensure that the nose is fully developed prior to any surgical treatment.

What happens during procedure?

Rhinoplasty normally involves separating the soft tissue that sits over the nose from the bone and cartilage underneath. Depending on the operation, Dr Frati may be required to break the nose bone and reposition it, or reshape the cartilage. This sounds much worse than it is and is a very common technique in order to achieve a more pleasing look. Many people that have breathing issues find that rhinoplasty can help with this.

What happens following the procedure?

You may need to stay in hospital for one of two nights, and it’s likely you’ll need to wear a protective splint over your nose for at least a week. Stitches inside your nose will probably be dissolvable and will not need to be removed. Dr Frati will advise you about when any stitches outside your nose need to be removed.

What are the risks?

As with any surgical procedure, there are certain risks and Dr Frati will explain in detail, any risks or contraindications. It is important to advise and give as much information as possible so that you can make an informed and confident choice. The following, specific risks of rhinoplasty are extremely rare, but should be taken in to consideration:

  • your nose may be an odd shape after surgery, although this will usually settle down during the following 12 months
  • your nose may bleed heavily for about a week, which may require medical attention
  • you may find it difficult to breathe through your nose for the first week after surgery
  • any implants used may protrude through the skin or become infected, in which case further surgery may be required to remove and replace them

When will I see results?

As rhinoplasty is a surgical, invasive procedure, results will be seen straight away, however, the nose will be swollen, bruised and perhaps sore for some time after and you will need to allow several weeks for the healing process to take effect. Depending on the extent of surgery, full results may take around 8 to 12 weeks and sometimes it can be a period of months for the nose to fully settle in to it’s permanent shape following surgery. This will all be discussed with you in a full consultation with Dr Frati.


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