Rhinoplasty surgery involves altering the shape and size of the nose. Computer imaging is performed at consultation to communicate the possible outcome. Most rhinoplasties performed by Dr Randle are performed through an open approach where a small incision is made in the skin between the lip and tip of the nose which is then extended internally. Through this manoeuvre the cartilages and nasal bones are exposed and altered according to the shape and size advised by Dr Randle at consultation. Cartilage may also be harvested from the septum, ear or rib if required and can be sutured to the nasal skeleton under direct vision. Nostril flaring can also be reduced through direct excision. Occasionally, Dr Randle combines the procedure with an ENT surgeon to improve breathing.
The operation is performed as day surgery or overnight stay depending on the degree of complexity. The nose is splinted postoperatively to maintain shape and for healing to occur in the desired position. Some degree of discomfort and stuffiness is experienced post operatively and swelling usually takes around 2-3 weeks to settle. In some cases, the final shape may not be fully evident until 6-12 months after surgery.
