There are as many shapes and sizes of noses in the world as there are faces. No two are alike, although similarities of faces and their noses exist.

The ideal nose surgery procedure maintains or improves the flow of air through the nose and creates a nasal shape which harmoniously blends with and complements the rest of the face.

At times this may mean also altering the shape of other parts of the face, such as the chin, cheekbones, or jaws and teeth, and the plastic surgeon may decide you are best to be treated by a combined, team approach with other health professionals.

Surgery to alter the appearance of the nose has been at the centre of plastic surgery since its earliest days. In a continuous search for more long-lasting, dependable and predictable results, plastic surgeons are constantly re-evaluating known techniques and working with new ones.

Introduction to Rhinoplasty

Surgery to alter the appearance of the nose has been at the centre of plastic surgery since its earliest days. The nose is central in location and central to facial beauty. Comsetic rhinoplasty may also impact function, and nasal airflow is important in many ways.

Cosmetic Rhinoplasty involves:

  • Complete (general) or local with sedation (twilight) anaesthesia
  • Incisions, inside and often under the nose
  • Lifting skin, membranes, and muscle away from underlying bone and cartilage
  • Re-shaping bone and cartilage by adding, subtracting, or both
  • Reshaping cartilages and bone by shifting and stitching
  • Repair of incisions and splinting


At what age can a nose be treated?

It is usually safe to operate when the facial bones have stopped growing, which in girls is usually between sixteen and eighteen and in boys is usually between sixteen and eighteen and, of course, when the patient is emotionally mature enough for the procedure.

Will I get a lot of bruising?

This depends partly on your own response to plastic surgery, but mainly on how much bone work must be done. In most cases today there is surprisingly little bruising, which resolves quite rapidly. It is very rare for people to get black eyes lasting weeks after the surgery like we used to see routinely.

Will you have to break the bones?

This depends on your nose. Sometimes we need to cut and shift the bones (an osteotomy) but we don’t break them. A controlled cut is less traumatic. This may be for several reasons, including as part of straightening the nose, to narrow a wide nose, and to bring the bones together after a large bump has been removed from the bridge.