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Ivan Foo

Consultant Plastic Surgeon

MBBS (London), FRCS (Eng), FRCS (Ed), FRCS(Plast).

Information on Hospitals, Bookings and Private Consultations in a relaxing atmosphere with a highly reputable medical and surgical consultant.


This section contains details of procedures available within Mr Foo's practice.


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Latest Procedures

Hospitals

Nose Surgery


Rhiniplasty,

cosmetic facial surgery




What are the aims and benefits of performing Rhinoplasty?

The ultimate objective of performing a Rhinoplasty is for the surgeon to create an evenly proportioned nose shape and profile, which will fit in with other dimensions and features of an individuals face.

Why is Rhinoplasty surgery performed?

Rhinoplasty is a common cosmetic surgery operation. The nose is the central feature of the face and dissatisfaction with the shape of the nose can be due to a variety of reasons. Most commonly, requests are for reduction of the size of the nose due to a prominent profile (dorsum). This can be associated with a broad nasal bones and prominent nasal tip and can be refined. When considering a Rhinoplasty, it is important to carefully balance your expectations with the result that can be reasonably achieved.

The first and most essential step in any cosmetic surgery is a consultation. The changes you desire will be discussed with you and an assessment is then carried out. This not only includes the proportions of your nose but also the nasal skin, the shape of your face and the changes which are possible. The result of a rhinoplasty is often masked by those who have thicker nasal skin and degree of reshaping is also determined by other facial features. The operation and limitations will be discussed with you.

How is a Rhinoplasty procedure performed?

Rhinoplasty is carried out under a general anaesthetic with an overnight stay in hospital. The incisions are usually made inside the nostrils and there are no external scars. Sometimes for more complex procedures (especially for tip work), incisions are made externally. The skin is then carefully separated from the skeleton of the nose and the cartilage and bony components are refined. The base of the nasal bones are also refractured (re-set) to achieve a narrower dorsum. In some cases, usually after trauma, part of the nose may need to be "built up", requiring a cartilage graft. The skin is then re-draped over the newly shaped skeleton, tapes and a splint is applied for one week.

Important advice to follow before surgery

Are there any risks or complications associated with Rhinoplasty surgery?

Although every care is taken to minimise complications, these can occur. This list is not exhaustive and will be discussed in more detail at your consultation.

Minor complications:

More serious complications (rare):


Guide to recovery after Rhinoplasty:

                              Activity                                Timescale  

                         Return to work                          1 - 2 weeks  

                              Driving                                  1 week  

                        Aerobics & sport                          6 weeks  

                            Swimming                               6 weeks  

                             Make up                        After splint removed  

                              Flights                                 6 weeks

 

Immediately following surgery a splint is applied to the nose and it is common for there to be bruising and swelling around the eyes and cheeks for 7 - 10 days. There will be some minor bleeding from the nostrils and the nose may feel blocked in a similar way to a heavy cold. Following the removal of the splint, the most noticeable change will be to the nose profile. The final result of a Rhinoplasty is not usually seen until 3-6 months later. In addition, if the tip of the nose is altered, this may feel numb for about 3 months.

Special note to all patients considering Rhinoplasty surgery

This is a general description of Rhinoplasty surgery and its typical recovery.

However, recovery times and risks will vary between individuals and Mr Foo will discuss this in more detail with you at consultation.