Primary rhinoplasty is performed when you have not had any prior nasal surgery; any subsequent procedure is considered a secondary or revision rhinoplasty. It is one of the most technically challenging surgical procedures due to the complexity and variability of the nasal anatomy. Even for a procedure only aiming to address aesthetic concerns, functional consequences of surgical intervention must also be considered. The goal of every rhinoplasty is to achieve long term cosmetic and functional stability of the nose. Dr Goh will consider your goals and your individualised anatomy to create an approach to help you achieve your desired outcome.
Reasons for Considering Primary Rhinoplasty
The rhinoplasty procedure lasts from one to three hours.
To begin the surgery, tiny incisions are made which allow the surgeon to access the underlying nasal structure. Once the skin is opened, the cartilage and bone are reshaped to form the basis for the new look. Two basic methods are utilized for performing nose surgery. These methods are referred to as the ‘open’ and the ‘closed’ techniques. The open technique allows for maximum visibility and control over the procedure. The incision used in the open technique is placed in-between the nostrils on the columella (the medial nostril strip). In the closed technique, the incisions are internal and heal faster; however, there is less surgical control over the outcome.
At the outset at any rhinoplasty, one has to devise a plan together with the patient that aims to achieve the ideal outcome through one, first, and final, procedure. Dr Goh will discuss the best technique for your desired outcome during your initial consultation.
Generally, post-operative instructions call for plenty of rest and limited movement in order to speed up the healing process and to reduce the recovery time. Some swelling may be noticed; however, any swelling will disappear within a few weeks. A splint, bandages, and/or gauze are applied immediately following surgery to aid in the healing process and to minimize movement of the nose. Patients must refrain from smoking for several weeks before and after the surgery. In addition, any corrective glasses that are worn must be taped up and off the nose. Patients sometimes report minor pain associated with the surgery, which can be effectively treated with oral medication and/or cold compresses. While complications are rare, you can minimize the risk of potential problems by carefully following the post-surgical directions given by Dr Goh.