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Rhinoplasty and Nose Job in Dublin

Rhinoplasty and revision Rhinoplasty procedures are performed by Mr James Small.  Mr Small is a specialist registered Consultant Plastic, Cosmetic, Reconstructive & Aesthetic Surgeon.  He is a highly experienced Rhinoplasty and Septo-Rhinoplasty specialist.  Mr Small is a full member of The Rhinoplasty Society of Europe.   http://www.rhinoplastysociety.eu/

Mr Small is on the Specialist Register for Plastic Reconstructive and Aesthetic Surgery of the Irish Medical Council.  He is also registered with The General Medical Council (U.K.)  GMC  (General Medical Council)  Plastic surgery specialist registry number: 2654810.  His work and results are audited annually by the British Association of Aesthetic Plastic Surgeons (B.A.A.P.S.) of which he is a full member .http://baaps.org.uk/component/lendr/?view=search&Itemid=200&q=Ireland

Rhinoplasty and revision Rhinoplasty procedures are performed in our operating theatre at The Clinic, Sandymount Green, Dublin 4 and The Fitzwilliam Clinic, Belfast.  These surgeries are performed as Day Case procedures under Local Anaesthetic with Sedation or under General Anaesthetic.  Patients can return home the same day.

Rhinoplasty surgery expectations are based on a clear understanding between the patient and Surgeon.  Mr Small offers his patients understanding, time and sound professional advice assisting them in making a fully informed decision about their proposed procedure.

During Consultation you can review an extensive library of before-and-after photos from some of our patients to get an idea of the results that are possible through a Rhinoplasty procedure.  We do no not use digital morphing during Consultations as it cannot not truly reflect the results of your proposed surgery.  Patients if they wish, can bring their own before and after digitally morphed photographs.  These can be very useful as a communication tool in helping to “design” your nose.  Mr Small can then advise you as to what options are realistic for you.

 

During a Rhinoplasty, procedure adjustments are made to:

  1. The bone in the nasal bridge
  2. The cartilages in the nasal tip and bridge
  3. The only external incisions made during a Rhinoplasty are those in the alar grooves and nostril floor which enables the Surgeon to narrow a wide nasal base.

Sometimes cartilage grafts are inserted to smooth defects in the shape and outline of the nose.  Cartilage grafts are frequently obtained from within the nose.  Occasionally cartilage grafts are harvested from the ear or rib cartilage.

On completion of the procedure the incisions are sutured – dissolving sutures in the internal incisions inside the nasal airways.  The stepped incision crossing the columella is closed with sutures that require removal after approximately five to six days post-operatively.

An external splint is applied to the nose to maintain the improved shape.  The splint is made of light material (steri-strips) and it is easily removed at the appropriate time – 10 days following the procedure.  One often sees heavy, cumbersome splints applied to the nose following Rhinoplasty – these are unnecessary and do not ensure additional protection or benefit.

Mr Small does not insert internal packs into the nasal airways.  These can be quite uncomfortable and they do not enhance the post-operative care following Rhinoplasty.  They may be beneficial in a small percentage of cases such as combined Plastic Surgery / E.N.T. Septo-Rhinoplasty.

Operation Time:

A primary cosmetic Rhinoplasty in a female will take one to one and a half hours.  A full post-traumatic Rhinoplasty in a male including nasal bone fracture will take one and a half to two hours.  A reconstructive / revision Rhinoplasty, i.e. previous and failed rhinoplasty(s) or previous severe trauma, may take two and a half hours and might entail cartilage grafts or bone grafts.

Rhinoplasty Surgery Aftercare:

85% of Mr Small’s Rhinoplasties are carried out under Local Anaesthetic with Sedation as day-care patients.  Most patients prefer to return to their own home as soon as possible following surgery. 

There will be an external splint on the nose 10-14 days to maintain the new shape.

Mr Small rarely use internal splints – they are uncomfortable and of little proven value in most cases.  In the absence of internal splints you may be able to breathe through your nose, however, your nose may become ‘blocked’ for a week or two following surgery.  Following an Open Rhinoplasty, you may have sutures which will require removal between 5 – 7 days.  In a Closed Rhinoplasty the sutures are internal and usually dissolve in a few weeks.

Recovery Time

If the nasal bone has been fractured the eyes will usually be bruised, otherwise bruising is remarkably slight or not at all.  Bruising resolves in about 7-14 days.  The external splint is removed after 8-10 days, by which stage you should be able to go out socially or return to work.  Aftercare beyond this point will be explained following your procedure.

Risks:

Rhinoplasty is a very safe procedure.  The scar of an Open Rhinoplasty invariably becomes fine and inconspicuous within a few months.

The problem area in Rhinoplasty surgery usually relates to the outcome – the quality of the result.  Reported figures show that up to 10% of individuals who undergo Rhinoplasty undergo revision surgery.  In my practice the revision rate is lower, under 5%.  In many cases revisions are of a relatively minor nature.  The common causes of dissatisfaction post-operatively will be discussed during Consultation.

Examples of Rhinoplasty:

This fifty four year woman is shown before and two months following surgery.

 

 
Closed Rhinoplasty
 
Open Rhinoplasty
In a closed rhinoplasty the incisions are concealed inside the nasal airways. Through these incisions, uncomplicated Rhinoplasties such as hump reduction can be performed. In addition to the incisions inside the nostrils a connecting incision is made across the columella.       This approach is required for more complicated Rhinoplasties, particularly involving the cartilage complex of the nasal tip.

 

For further information or to arrange a Consultation with Mr Small

Email: info@theclinicsandymountgreen.com

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Tel: +353 1  219 6050

Mobile: 086 021 1188