Rhinoplasty is the generic term for any operation which results in alteration of the shape of the nose. This includes septorhinoplasty where the septum is also corrected, and may be achieved either by an endonasal approach or an open approach where a small incision is placed across the columellar skin between the nostrils. In most cases the operation can be achieved via a closed approach and an open approach rhinoplasty is reserved for cases where there is marked nasal tip asymmetry or where it is necessary to insert cartilage grafts, either from the septum or ear cartilage into the tip of the nose. The aim of rhinoplasty surgery is to restore both normal form and function, and achieve a normal-looking nose.
Proper assessment of the nose prior to surgery is vital. The patient in the adjacent photograph for example presented complaining of a nasal hump. In fact the problem arose because the nasal septum was not supporting the tip. Correction of the nasal tip was all that was required to achieve the improvement in the patient's nasal appearance.
Surgery is generally performed on a day case basis, and packing of the nose is usually not required, although of course patients will show some bruising for approximately a week and because of the swelling within the nose will have difficulty breathing through their nose for this time. A plaster of Paris nasal splint is also required to maintain the position of the nasal bones. This will be worn for a week.
Your particular problem will be discussed with you in the outpatient clinic, and with the benefit of digital image manipulation software, the likely outcome of surgery will be demonstrated to you.
Mr Mckiernan is a very experienced rhinoplasty surgeon and has performed hundreds of these operations, and is referred many cases from other surgeons for revision.